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Individual
CHRISTINA WANG
Active
Individual
CHRISTINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9110835
FL
363AS0400X
Surgical Physician Assistant
Primary
5601011722
MI
363AS0400X
Surgical Physician Assistant
Primary
PA9110835
FL
Other
Enumeration date
10/13/2017
Last updated
03/03/2026
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