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Shou Wang
Psychiatric/Mental Health Nurse Practitioner in Redlands, California
NPI 1679071153

Shou Wang is a Psychiatric/Mental Health Nurse Practitioner based in Chino, CA and is specialized in Psychiatric/Mental Health. Shou Wang practices in Redlands, CA. The NPI Number for Shou Wang is 1679071153 and holds a License No. NP95007812 (California).

The current practice location address for Shou Wang is 26001 Redlands Blvd, Redlands, CA and can be reached out via phone at 909-478-7084.

Location: 26001 Redlands Blvd, Redlands, CA, 91710-7384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679071153
Provider Name
Shou Wang
Credential
Provider Entity Type
Individual
Gender
Male
Address
26001 Redlands Blvd, Redlands, CA, 91710-7384
Phone Number
909-478-7084
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26001 Redlands Blvd
City
Redlands
State
California
Zip
92373-7762
Phone Number
909-478-7084
Fax Number
person
Provider Business Mailing Address Details
Address
26001 Redlands Blvd
City
Redlands
State
California
Zip
92373-7762
Phone Number
909-478-7084
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
NP95007812 (California)
Definition
Definition to come...
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