Individual
ANNIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 N VIRGINIA ST, RENO, NV 89557-0001
(775) 784-1110
Mailing address
161 DUCK HOLLOW AVE, LAS VEGAS, NV 89148-4431
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NV
363A00000X
Physician Assistant
Primary
—
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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