CHAYSEN CHONG

HAYDEN, ID
NPI1174110472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P8724)
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
CHAYSEN CHONG
260 W HONEYSUCKLE AVE
HAYDEN, ID 83835-9270
Phone number: 208-762-0185
Mailing Address
CHAYSEN CHONG
1011 E SHARPSBURG AVE APT 394
SPOKANE, WA 99208-6691
Phone number: 808-269-9412