Individual
JONATHAN S ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
1428 CLIPPERTON AVE, HENDERSON, NV 89074-1622
(702) 576-2156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7861060
ID
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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