Individual
DA HAE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 S MARINE CORPS DR STE 101, TAMUNING, GU 96913-3521
(671) 646-6337
Mailing address
541 S MARINE CORPS DR STE 101, TAMUNING, GU 96913-3521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202219760
VA
183500000X
Pharmacist
Primary
PH0505
GU
Other
Enumeration date
09/12/2021
Last updated
10/14/2022
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