Individual
KEVIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9247 MATTHEWS AVE NE, SEATTLE, WA 98115-3942
(206) 963-7782
Mailing address
9247 MATTHEWS AVE NE, SEATTLE, WA 98115-3942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60774499
WA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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