JIANNONG MAO

STATE COLLEGE, PA
NPI1629368659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP440707)
Additional Taxonomies183500000X Pharmacist
(Licence: CA  rph54187)
183500000X Pharmacist
(Licence: NV  15514)
Enumeration Date2011-04-11
Last Update Date2011-04-11
Business Address
-- JIANNONG MAO
1536 N ATHERTON ST
STATE COLLEGE, PA 16803-3041
Phone number: 814-237-4133
Mailing Address
-- JIANNONG MAO
2386 SAGAMORE DR
STATE COLLEGE, PA 16803-2412
Phone number: 814-231-3003