Individual
MAI NHIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 PAYNE AVE STE 102, SAINT PAUL, MN 55130-3668
(651) 340-0825
Mailing address
1261 PAYNE AVE STE 102, SAINT PAUL, MN 55130-3668
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R182525-5
MN
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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