Individual
SELENA SHIYUE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 W WALNUT ST APT J, INDIANAPOLIS, IN 46202-3179
(217) 840-6066
Mailing address
755 W WALNUT ST APT J, INDIANAPOLIS, IN 46202-3179
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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