Individual
PIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 TOWN CENTER DR, WARREN, NJ 07059-2650
(718) 781-2055
Mailing address
14411 69TH AVE, FLUSHING, NY 11367-1709
(718) 781-2055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01192400
NJ
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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