Individual
PANG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
115 MAGNOLIA AVE W, SAINT PAUL, MN 55117-4916
(651) 233-8188
Mailing address
115 MAGNOLIA AVE W, SAINT PAUL, MN 55117-4916
(651) 233-8188
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
2250201
MN
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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