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Individual

ANDRE WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3831 HUGHES AVE STE 104, CULVER CITY, CA 90232-6834
(310) 837-9700
Mailing address
1905 CEDAR ST APT 4C, ALHAMBRA, CA 91801-1894
(626) 475-7303

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39378
CA

Other

Enumeration date
10/19/2012
Last updated
12/06/2021
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