Individual
NICHOLAS VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 ASPEN CIR, LITTLE CANADA, MN 55109-1003
(651) 230-2690
Mailing address
848 ASPEN CIR, LITTLE CANADA, MN 55109-1003
(651) 230-2690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1107527
MN
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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