Individual
ELLICIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 SAND POINT WAY NE, SEATTLE, WA 98105-2941
(206) 524-2211
Mailing address
5054 SAND POINT WAY NE, SEATTLE, WA 98105-2915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61458485
CA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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