Wong, Shannon L

Wong, Shannon L is an individual health care provider with primary practice located at 9300 Valley Childrens Place Charlie Mitchell Childrens Clinic Mb01, Madera CA 93636-3227. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wong, Shannon L can be contacted via phone (559) 353-5052.

Contact Information

Primary practice address
9300 Valley Childrens Place Charlie Mitchell Childrens Clinic Mb01 Madera CA 93636-3227
Phone: (559) 353-5052
Fax: (559) 353-8180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 48897 California

Profile Details

NPI number 1659347938
LBN Legal business name Wong, Shannon L
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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