Individual
KONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1261 PAYNE AVE # 102, SAINT PAUL, MN 55130-3668
(651) 340-0825
Mailing address
1261 PAYNE AVE # 102, SAINT PAUL, MN 55130-3668
(651) 340-0825
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R240987-4
MN
Other
Enumeration date
07/14/2017
Last updated
03/17/2018
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