Individual
JESSICA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8399 GARVEY AVE, ROSEMEAD, CA 91770-2650
(888) 530-4415
Mailing address
22715 MOUNTAIN LAUREL WAY, DIAMOND BAR, CA 91765-2527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002105
CA
Other
Enumeration date
07/08/2015
Last updated
07/25/2026
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