Individual
WISELEY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1600 POTRERO GRANDE DR STE 7, ROSEMEAD, CA 91770-4167
(626) 872-0868
(626) 508-1186
Mailing address
1600 POTRERO GRANDE DR STE 7, ROSEMEAD, CA 91770-4167
(626) 872-0868
(626) 508-1186
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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