Individual
PANG VUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12714 W HAMPTON AVE, STE E, BUTLER, WI 53007-1640
(262) 505-6104
(262) 794-3628
Mailing address
12714 W HAMPTON AVE, STE E, BUTLER, WI 53007-1640
(262) 505-6104
(262) 794-3628
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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