Individual
JEANIE WANG YEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8779
(919) 350-8812
Mailing address
PO BOX 58517, RALEIGH, NC 27658-8517
(919) 645-0116
(919) 719-0147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2013-00069
NC
Other
Enumeration date
05/25/2009
Last updated
06/18/2013
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