Individual
JASMIN WU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
13719 174TH AVE SE, RENTON, WA 98059-6502
(650) 272-9046
Mailing address
13719 174TH AVE SE, RENTON, WA 98059-6502
(650) 272-9046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60568539
WA
235Z00000X
Speech-Language Pathologist
9279
CA
Other
Enumeration date
06/04/2015
Last updated
07/16/2015
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