Individual
LI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10657 NE 2ND ST, BELLEVUE, WA 98004-5727
(425) 458-8010
Mailing address
34804 SE JACOBIA ST, SNOQUALMIE, WA 98065-5019
(206) 331-7675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60491431
WA
Other
Enumeration date
09/06/2014
Last updated
07/13/2021
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