Individual
MISS WANDA WAN LIAN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 S. ELISEO AVE STE 2A, SIRONA VASCULAR CENTER, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5413
Mailing address
GROUP ADDRESS OF, PO BOX 45094, SAN FRANCISCO, CA 94145-0094
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
001982
CT
363AS0400X
Surgical Physician Assistant
Primary
19704
CA
Other
Enumeration date
11/05/2007
Last updated
12/09/2013
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