Individual
KALSANG WANGMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 PARK AVE, RICHFIELD, MN 55423-3260
(612) 963-6766
Mailing address
7001 PARK AVE, RICHFIELD, MN 55423-3260
(763) 647-4675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2270485
MN
Other
Enumeration date
12/04/2017
Last updated
03/02/2024
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