Individual
CONNOR HANG MONOROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
16876 JASPER PATH, LAKEVILLE, MN 55044-5679
(952) 702-4269
Mailing address
16876 JASPER PATH, LAKEVILLE, MN 55044-5679
(952) 702-4269
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 141319-1
MN
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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