Individual
AMANDA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1543 JOHNSON AVE, SAN JOSE, CA 95129-4714
(669) 251-5222
Mailing address
1543 JOHNSON AVE, SAN JOSE, CA 95129-4714
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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