Individual
DR. BEVERLY C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4947
(909) 427-5452
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4947
(909) 427-5452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53685
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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