Individual
AMANDA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
1011 S SERRANO AVE APT 114, LOS ANGELES, CA 90006-3862
(469) 231-8563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63569
TX
183500000X
Pharmacist
79603
CA
Other
Enumeration date
10/02/2019
Last updated
05/30/2025
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