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Individual

ALICE WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
831 VIA SUERTE STE 102, SAN CLEMENTE, CA 92673-6531
(949) 364-5600
Mailing address
831 VIA SUERTE STE 102, SAN CLEMENTE, CA 92673-6531
(949) 364-5600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/04/2017
Last updated
08/10/2023
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