Individual
NONGLEE MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 VERMILLION ST, HASTINGS, MN 55033-2844
(866) 389-2727
Mailing address
1411 VERMILLION ST, HASTINGS, MN 55033-2844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13617
MN
Other
Enumeration date
12/13/2019
Last updated
04/25/2025
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