Individual
PRUDENCE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8805 CENTRE PARK DR, COLUMBIA, MD 21045-2117
(443) 364-5181
Mailing address
8805 CENTRE PARK DR, COLUMBIA, MD 21045-2117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27438
MD
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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