Individual
KONGMENG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1206 HILLCREST DR, WOODBURY, MN 55125-2160
(651) 214-6321
Mailing address
1206 HILLCREST DR, WOODBURY, MN 55125-2160
(651) 214-6321
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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