Individual
DR. LEAH KRISTINE WONDERFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCGP
Contact information
Practice address
228 STRAWBRIDGE DR, MOORESTOWN, NJ 08057-4600
(612) 434-1313
Mailing address
1265 ROSELAWN AVE W, ROSEVILLE, MN 55113-5955
(612) 434-1313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122286
MN
Other
Enumeration date
07/02/2015
Last updated
10/04/2018
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