Individual
MR. WAYNE NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
683 29TH AVE, SAN FRANCISCO, CA 94121-2820
(415) 221-0371
Mailing address
683 29TH AVE, SAN FRANCISCO, CA 94121-2820
(415) 221-0371
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CA
305S00000X
Point of Service
—
—
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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