Individual
MOLLY MALIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1425 MARYLAND AVE E STE 103, SAINT PAUL, MN 55106-7152
(651) 204-3337
(651) 815-0087
Mailing address
1425 MARYLAND AVE E STE 103, SAINT PAUL, MN 55106-7152
(651) 204-3337
(651) 815-0087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2460566
MN
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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