Individual
ALICIA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
(866) 822-7464
Mailing address
2060 CENTRE POINTE BLVD STE 3, MENDOTA HEIGHTS, MN 55120-1271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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