Provider Demographics
NPI:1497979264
Name:WILSON-HWANG, MAUREEN SUMMER (ND)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:SUMMER
Last Name:WILSON-HWANG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 CHENERY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3033
Mailing Address - Country:US
Mailing Address - Phone:415-334-1014
Mailing Address - Fax:415-334-1014
Practice Address - Street 1:661 CHENERY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3033
Practice Address - Country:US
Practice Address - Phone:415-334-1014
Practice Address - Fax:415-334-1014
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-165175F00000X
AZ02-687175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath