Individual
ELVIS SUVACNA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12070 43RD ST NE STE 200, SAINT MICHAEL, MN 55376-8427
(763) 515-3150
(763) 595-1036
Mailing address
12070 43RD ST NE STE 200, SAINT MICHAEL, MN 55376-8427
(763) 515-3150
(763) 595-1036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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