Individual
MANDISA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 ELM ST, MANCHESTER, NH 03101-1305
(603) 314-1701
Mailing address
3625 VIOLET AVE N, BROOKLYN CENTER, MN 55429-1466
(763) 313-1601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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