Individual
JUDY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 COTTAGE AVE E, SAINT PAUL, MN 55106-1709
(651) 491-0100
Mailing address
704 COTTAGE AVE E, SAINT PAUL, MN 55106-1709
(651) 491-0100
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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