Individual
YIA CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 VALLEY STREAM DR, MADISON, WI 53711-2435
(608) 334-9750
Mailing address
907 VALLEY STREAM DR, MADISON, WI 53711-2435
(608) 334-9750
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
194921-30
WI
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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