JERRY WANG

YAKIMA, WA
NPI1376119883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  OP61170696)
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
JERRY WANG OP
1806 W LINCOLN AVE
YAKIMA, WA 98902-2473
Phone number: 509-452-4520
Mailing Address
JERRY WANG OP
501 S 5TH AVE
YAKIMA, WA 98902-3550
Phone number: 509-494-6700