Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | DO 1872 | WA |
NPI | 1689895930 |
---|---|
Provider Name | Hong Wang |
First Address | Shoreline, WA 98133 |
Second Address | Seattle, WA 98125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |