Individual
MR. SHUAI JAY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 GOLF CLUB DR, HAUGHTON, LA 71037-8609
(318) 349-2809
Mailing address
12 GOLF CLUB DR, HAUGHTON, LA 71037-8609
(318) 349-2809
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
008381712
LA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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