Most Relevant Information
Provider Data
NPI Number: | 1003013715 |
Provider Name: | ROBERTA YIWUN WANG M.D. |
Entity Type: | Individual |
Taxonomy Code: | 208100000X |
Specialty: | Physical Medicine & Rehabilitation |
License Number: | A89339 |
Most Important Dates
Enumeration Date: | 06/27/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
975 SERENO DR
VALLEJO
CA
945892441
Practice Location Phone/Fax
Phone: | 7076515128 |
Fax: |
Provider Mailing Location
745 SERENO DRIVE
VALLEJO
CA
94589
Provider Mailing Phone/Fax
Phone: | 7076515128 |
Fax: |