Individual
KAMILLE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3153
(671) 649-5018
Mailing address
112 KAYON PATNITOS APT 114, DEDEDO, GU 96929-7522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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