Individual
MATTHEW FONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2516 2ND AVE, KEARNEY, NE 68847-4415
(308) 236-8547
Mailing address
2516 2ND AVE, KEARNEY, NE 68847-4415
(308) 236-8547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16636
NE
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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