Individual
ANN R WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
(213) 580-7650
Mailing address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 41870
CA
Other
Enumeration date
02/01/2007
Last updated
06/25/2012
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