Individual
GRACE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
511 E 3RD ST STE 260, BETHLEHEM, PA 18015-2072
(484) 526-2460
Mailing address
10 CRESTVIEW RD, BEDFORD, MA 01730-1358
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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