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Individual

AIMEE WING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 HILLMONT AVE STE 401, VENTURA, CA 93003-1651
(805) 648-9830
Mailing address
PO BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55951
TN
207R00000X
Internal Medicine Physician
MD038974
DC
207R00000X
Internal Medicine Physician
MD458489
PA
208M00000X
Hospitalist Physician
55951
TN
208M00000X
Hospitalist Physician
Primary
A109399
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A869820
CA
Enumeration date
06/21/2008
Last updated
07/18/2023
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