Individual
MIKE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4030 ALLENTOWN RD, LIMA, OH 45807-2146
(419) 231-3665
Mailing address
910 W SPRING ST, LIMA, OH 45805-3231
(419) 231-3665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019051
OH
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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