Individual
MAIKA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N118 BRIARWOOD DR, APPLETON, WI 54915-5513
(920) 257-9435
Mailing address
N118 BRIARWOOD DR, APPLETON, WI 54915-5513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161645-30
WI
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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