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Individual
JENNIFER WANG
Active
Individual
JENNIFER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A95818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95818
MEDICAL LICENSE
CA
Enumeration date
08/14/2006
Last updated
05/26/2020
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