Individual
GWO-HWA LEE PROENCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 SUSQUEHANNA RD, RYDAL, PA 19046-2551
(215) 740-8533
Mailing address
950 SUSQUEHANNA RD, RYDAL, PA 19046-2551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441723
PA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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