Individual
JEFFERY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1811 156TH AVE NE, SUITE 2, BELLEVUE, WA 98007-4344
(425) 460-7114
(425) 460-7115
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00058422
WA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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