Vanessa Wang PA-C

NPI 1003151259 - Physician Assistant - 363A00000X

NPI Details
NPI 1003151259
Gender Female
Enumeration Date 11/29/2012
Last Updated 11/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
7830 CLAIREMONT MESA BLVD
SUITE 203
SAN DIEGO CA, 92111-1632, US
Phone (858) 300-2626
Fax
Business Location
7830 CLAIREMONT MESA BLVD
SUITE 203
SAN DIEGO CA, 92111-1632, US
Phone (858) 300-2626
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA22575
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According to our database, Vanessa Wang PA-C NPI is 1003151259, taxonomy code is 363A00000X and license number is PA22575, license state is located at California. Vanessa Wang PA-C physically located at 7830 Clairemont Mesa Blvd, San Diego CA, 92111-1632. NPI Number Vanessa Wang PA-C has the Individual type.

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1003151259 NPI number is provided on an as is basis without warranty of any kind. 1003151259 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Wang PA-C are for informational purposes only.