Wanchi J Su FNP

NPI 1437552726 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1437552726
Gender Male
Enumeration Date 10/01/2014
Last Updated 10/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1111 E LAS TUNAS DR
SAN GABRIEL CA, 91776-1701, US
Phone (626) 286-8473
Fax
Business Location
1111 E LAS TUNAS DR
SAN GABRIEL CA, 91776-1701, US
Phone (626) 286-8473
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number NP95000551
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According to our database, Wanchi J Su FNP NPI is 1437552726, taxonomy code is 363L00000X and license number is NP95000551, license state is located at California. Wanchi J Su FNP physically located at 1111 E Las Tunas Dr, San Gabriel CA, 91776-1701. NPI Number Wanchi J Su FNP has the Individual type.

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1437552726 NPI number is provided on an as is basis without warranty of any kind. 1437552726 is maintained by the National Plan & Provider Enumeration System. The contents of Wanchi J Su FNP are for informational purposes only.