Individual
KEVIN WING JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11501 CANYON RD E, PUYALLUP, WA 98373-4359
(253) 536-5296
(253) 536-5508
Mailing address
11501 CANYON RD E, PUYALLUP, WA 98373-4359
(253) 536-5296
(253) 536-5508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00042082
WA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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