JENNIE WONG

FORT DEFIANCE, AZ
NPI1033411665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MD  19224)
Enumeration Date2010-12-02
Last Update Date2010-12-02
Business Address
-- JENNIE WONG Pharm D
NW CORNER OF NAVAJO RT. 12 & RT. 7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8328
Mailing Address
-- JENNIE WONG Pharm D
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8328
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