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Individual

KRISTINA K. CHA-VANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6575
Mailing address
5081 N 53RD ST, MILWAUKEE, WI 53218-4334

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16750-40
WI

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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