Individual
SONGPING WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14600 DEVEREAUX TER, NORTH POTOMAC, MD 20878-4331
(301) 518-9660
Mailing address
14600 DEVEREAUX TER, NORTH POTOMAC, MD 20878-4331
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
M05401
MD
225700000X
Massage Therapist
Primary
M05401
MD
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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