JUSTIN GONG

FAIRFIELD, CA
NPI1447717566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  77646)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
JUSTIN GONG
2059 CADENASSO DR
FAIRFIELD, CA 94533-6806
Phone number: 707-759-0005
Mailing Address
JUSTIN GONG
2059 CADENASSO DR
FAIRFIELD, CA 94533-6806
Phone number:
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