Individual
DIANA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
164 KNECHTEL WAY NE, BAINBRIDGE ISLAND, WA 98110-2838
(206) 842-4219
Mailing address
164 KNECHTEL WAY NE, BAINBRIDGE ISLAND, WA 98110-2838
(206) 842-4219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61116404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH61116404
WA DEPARTMENT OF HEALTH
WA
Enumeration date
12/08/2020
Last updated
12/08/2020
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