Most Relevant Information
Provider Data
| NPI Number: | 1003634304 |
| Provider Name: | DI WANG |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60714374 |
Most Important Dates
| Enumeration Date: | 09/26/2024 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
13200 OLD REDMOND RD STE 130
REDMOND
WA
980521819
Practice Location Phone/Fax
| Phone: | 4257857912 |
| Fax: | 4252171864 |
Provider Mailing Location
13200 OLD REDMOND RD STE 130
REDMOND
WA
980521819
Provider Mailing Phone/Fax
| Phone: | 4257857912 |
| Fax: | 4252171864 |