Individual
NAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1555 S GAREY AVE, POMONA, CA 91766-5222
(909) 620-8088
(909) 623-9648
Mailing address
1555 S GAREY AVE, POMONA, CA 91766-5222
(909) 620-8088
(909) 623-9648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA54434
CA
363AM0700X
Medical Physician Assistant
Primary
PA09643
TX
Other
Enumeration date
03/10/2015
Last updated
04/18/2018
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