Individual
BRIAN RANDALL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 N AIRPORT RD, WILLOWS, CA 95988-9701
(530) 934-2054
Mailing address
4379 TERRABELLA PL, OAKLAND, CA 94619-3161
(925) 408-3566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31432
CA
Other
Enumeration date
07/02/2020
Last updated
11/27/2023
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