Individual
CLAIRE WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 MONTROSE ST # 1, SOMERVILLE, MA 02143-1212
(404) 578-7843
Mailing address
57 MONTROSE ST # 1, SOMERVILLE, MA 02143-1212
(404) 578-7843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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