Individual
BERNADINE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 HYDE ST, SAN FRANCISCO, CA 94109-4804
(415) 409-4230
Mailing address
PO BOX 12578, SAN FRANCISCO, CA 94112-0578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57090
CA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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