Individual
ELLIOT SEBASTIAN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27008 92ND AVE NW, STANWOOD, WA 98292-5343
(360) 629-0662
Mailing address
27008 92ND AVE NW, STANWOOD, WA 98292-5343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61236416
WA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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