Individual
JUSTINE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5061 N RAINBOW BLVD STE 180, LAS VEGAS, NV 89130-1689
(702) 220-8001
Mailing address
7327 LABURNUM ST, LAS VEGAS, NV 89113-3211
(919) 819-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA2959
NV
Other
Enumeration date
08/02/2023
Last updated
04/18/2024
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