Individual
WENJUN WANG MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 402-0064
Mailing address
PO BOX 2327, LAKE WALES, FL 33859-2327
(863) 402-0064
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
2012030849
MO
367H00000X
Anesthesiologist Assistant
Primary
AA323
FL
Other
Enumeration date
08/31/2012
Last updated
04/14/2024
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