Individual
DA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-1128
Mailing address
3635 WOODLAND AVE N UNIT 128, SEATTLE, WA 98103-5273
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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