Individual
CHENYUAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SAN LUCAR CT, SUNNYVALE, CA 94086-5213
(855) 816-7705
Mailing address
4407 IRISVIEW PL, SAN RAMON, CA 94582-5412
(917) 528-9141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86097712
NY
Other
Enumeration date
02/04/2020
Last updated
09/16/2020
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