Individual
JIAOLUAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8360 CLOVER CREEK RD, RIVERSIDE, CA 92508-3512
(951) 542-0722
Mailing address
12625 FREDERICK ST STE E1, MORENO VALLEY, CA 92553-5253
(951) 542-0722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
47745
CA
253Z00000X
In Home Supportive Care Agency
Primary
003318344
CA
3747P1801X
Personal Care Attendant
003318344
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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