Individual
MR. NIXON VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 OAKDALE AVE, SAINT PAUL, MN 55107-3058
(612) 325-1342
Mailing address
620 OAKDALE AVE, SAINT PAUL, MN 55107-3058
(612) 325-1342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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