Individual
WEN SHEN LOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206-3531
(904) 588-1480
Mailing address
1655 PRUDENTIAL DR UNIT 2261, JACKSONVILLE, FL 32207-8191
(904) 616-3677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
TRN30070
FL
Other
Enumeration date
02/24/2020
Last updated
03/23/2020
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