Individual
SOPHIA DO VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1860 S MAIN STREET, BELLEFONTAINE, OH 43311
(937) 592-0727
Mailing address
967 LARKFIELD DR, WORTHINGTON, OH 43085-5733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004974RX
OH
Other
Enumeration date
07/14/2017
Last updated
07/28/2017
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