Individual
TRISHA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6403 QUENTIN ST, WESTON, WI 54476-6634
(715) 574-3561
Mailing address
6403 QUENTIN ST, WESTON, WI 54476-6634
(715) 574-3561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
188349-30
WI
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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