Individual
KATHERINE VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 N 75TH ST APT 1, MILWAUKEE, WI 53213-3574
(715) 203-5789
Mailing address
412 N 75TH ST APT 1, MILWAUKEE, WI 53213-3574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171561-30
WI
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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