Individual
DR. CHARISSE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4332 HAUCK ST, LOS ANGELES, CA 90063-3240
(323) 698-3366
Mailing address
4332 HAUCK ST, LOS ANGELES, CA 90063-3240
(323) 698-3366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77243
CA
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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