Search › Massachusetts › 171100000X
Jing Wan
NPI 1538393236 · on the registry since 2009 · sole proprietor
Practice
- Address
- 29 Pettibush Ln
Duxbury, MA 02332 - Phone
- (781) 500-9161
- Fax
- (781) 336-4165
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- MA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts