Individual
PANG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12844 RAVEN ST NW, COON RAPIDS, MN 55448-2578
(651) 207-7075
Mailing address
12844 RAVEN ST NW, COON RAPIDS, MN 55448-2578
(651) 207-7075
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MN
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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