Individual
SHOU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 478-7084
Mailing address
6545 GROVES CT, CHINO, CA 91710-7384
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95007812
CA
Other
Enumeration date
01/30/2018
Last updated
12/12/2019
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