Individual
TERI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W PIONEER BLVD, MESQUITE, NV 89027-8864
(702) 346-0408
(702) 346-0916
Mailing address
1120 W PIONEER BLVD, MESQUITE, NV 89027-8864
(702) 346-0408
(702) 346-0916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18958
NV
183500000X
Pharmacist
7945846-1701
UT
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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