JINXIANG SU

GREEN BAY, WI
NPI1679180848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  20501-40)
Additional Taxonomies183500000X Pharmacist
(Licence: WV  20501-40)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
JINXIANG SU
2301 S ONEIDA ST
GREEN BAY, WI 54304-5230
Phone number: 920-490-0424
Mailing Address
JINXIANG SU
746 ELEMENT WAY APT 415
GREEN BAY, WI 54304-4678
Phone number: 615-839-7541