Individual
DR. KWANTA NATHALANG WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1654 E MARKET ST # 06467, NAPPANEE, IN 46550-2339
(574) 773-4311
Mailing address
13021 FOUNTAIN CT, GRANGER, IN 46530-4744
(574) 323-7802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051292180
IL
183500000X
Pharmacist
Primary
26022731A
IN
183500000X
Pharmacist
5302047304
MI
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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