Individual
JOHNNY MING YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N MAIN ST, MERIDIAN, ID 83642-1709
(208) 888-7311
Mailing address
1405 BUTTERFLY LN, OLIVEHURST, CA 95961-9649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8967
ID
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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