Individual
DANNY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(571) 251-8707
Mailing address
4466 W PINE BLVD APT 2A, SAINT LOUIS, MO 63108-2327
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
03/26/2020
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