Individual
CHRIS WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5809
Mailing address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61374
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/13/2021
Last updated
10/17/2022
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