Individual
JING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2986
(703) 776-3515
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2986
(703) 776-3515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003013
VA
363AM0700X
Medical Physician Assistant
0110003013
VA
Other
Enumeration date
11/18/2011
Last updated
11/25/2020
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