Individual
MRS. IA ONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
(763) 425-5300
Mailing address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
(763) 425-5300
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
717866
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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