Individual
CONG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(510) 304-5251
Mailing address
16 W ENCANTO BLVD UNIT 30, PHOENIX, AZ 85003-1136
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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