Individual
JASON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MADISON ST, SEATTLE, WA 98104-1315
(206) 322-9316
(206) 322-9287
Mailing address
1620 BELMONT AVE, APT 424, SEATTLE, WA 98122-2308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00046239
WA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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