Individual
ALICE HOANG KHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4529
Mailing address
24147 MOUNT RUSSELL DR, MORENO VALLEY, CA 92553-6723
(510) 703-8362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65326
CA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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