Individual
YACHUN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 FRANKLIN PKWY, SAN MATEO, CA 94403-1922
(650) 358-7015
Mailing address
5000 OMENA CT, STERLING HEIGHTS, MI 48314-1947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704295826
MI
163WP0200X
Pediatric Registered Nurse
Primary
95100699
CA
Other
Enumeration date
09/07/2015
Last updated
02/04/2019
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