WYNN-C KWAN

NEW ORLEANS, LA
NPI1013370352
Former NameMELISSA KWAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SD  12160)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-04
Last Update Date2021-01-05
Business Address
WYNN-C KWAN
2001 TULANE AVE
NEW ORLEANS, LA 70112
Phone number: 504-702-2287
Mailing Address
WYNN-C KWAN
2905 3RD AVE SE
ABERDEEN, SD 57401-5420
Phone number: