Individual
AI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 EDMONDSON AVE STE 200, CATONSVILLE, MD 21228-4960
(443) 201-2217
(443) 341-4177
Mailing address
6199 HORIZON HEIGHTS DR, KALAMAZOO, MI 49009-9105
(443) 201-2217
(443) 341-4177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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