Individual
IA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 MADISON AVE, MANKATO, MN 56001-5228
(507) 388-1315
Mailing address
1270 MADISON AVE, MANKATO, MN 56001-5228
(507) 388-1315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124158
MN
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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