Individual
WENJING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 577-1200
(209) 577-6517
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4330
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A144622
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
11/29/2021
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