Individual
LI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S 4TH AVE, YAKIMA, WA 98902-3547
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61232247
WA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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