Individual
JESSE FRANCIS WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST.,, MAIL STOP 801016, CHARLOTTESVILLE, VA 22908-0816
(434) 243-0270
(434) 243-0290
Mailing address
1215 LEE ST.,, MAIL STOP 801016, CHARLOTTESVILLE, VA 22908-0816
(434) 243-0270
(434) 243-0290
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/23/2021
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