Individual
MAIYAA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 PAYNE AVE, SAINT PAUL, MN 55130-3434
(651) 793-6901
Mailing address
1324 PAYNE AVE, SAINT PAUL, MN 55130-3434
(651) 793-6901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R168089-8
MN
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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