Individual
MARIELLE A WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 KEAHOLE ST, HONOLULU, HI 96825-3405
(808) 395-4427
Mailing address
PO BOX 25164, HONOLULU, HI 96825-0164
(808) 594-7663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-5092
HI
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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