Individual
SUE THAO YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 MAPLE ST, HASTINGS, MN 55033-2340
(763) 898-9914
Mailing address
1009 MAPLE ST, HASTINGS, MN 55033-2340
(763) 898-9914
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1115935
MN
Other
Enumeration date
05/06/2024
Last updated
03/17/2026
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