Individual
WEIHAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12213 SE 164TH ST, RENTON, WA 98058-5354
(408) 666-0363
Mailing address
12213 SE 164TH ST, RENTON, WA 98058-5354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60297810
WA
Other
Enumeration date
07/06/2012
Last updated
07/16/2013
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