Individual
A WONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5322 THUNDER RIDGE CIR, ROCKLIN, CA 95765-4841
(191) 676-5400
Mailing address
5322 THUNDER RIDGE CIR, ROCKLIN, CA 95765-4841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 30559
CA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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