Individual
DANIEL WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 735-6000
Mailing address
1115 KATELYN CT, IRVING, TX 75060-5774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138517
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2021
Last updated
01/17/2022
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