Individual
HSIANG-HUA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 S 15TH E, IDAHO FALLS, ID 83404-8262
(208) 552-1222
Mailing address
1900 PARKWOOD ST. APT.B301, IDAHO FALLS, ID 83401
(801) 707-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820523196
—
ID
Enumeration date
05/01/2015
Last updated
05/01/2015
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