Most Relevant Information
Provider Data
| NPI Number: | 1003455262 |
| Provider Name: | JENNIFER WANG |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 69143 |
Most Important Dates
| Enumeration Date: | 01/04/2020 |
| Last Updated: | 01/04/2020 |
Provider Practice Location
12037 MIL PITRERO RD
SAN DIEGO
CA
921285281
Practice Location Phone/Fax
| Phone: | 8587331181 |
| Fax: |
Provider Mailing Location
420 34TH ST
BAKERSFIELD
CA
933012237
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |