Individual
KIA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7411
Mailing address
1136 ALBEMARLE ST, SAINT PAUL, MN 55117-4415
(505) 368-6001
(505) 368-7411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3643
MN
Other
Enumeration date
06/06/2019
Last updated
02/22/2021
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