Individual
JIMMY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5211 20TH AVE NW, SEATTLE, WA 98107-4001
(206) 297-2792
(206) 297-1051
Mailing address
5211 20TH AVE NW, SEATTLE, WA 98107-4001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31301
CA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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