Individual
ANNETTE WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(415) 715-4608
Mailing address
1120 ALDER TREE WAY APT 313, SACRAMENTO, CA 95831-3961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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