Individual
ZOUA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1687 WOODLANE DR, WOODBURY, MN 55125-3045
(651) 621-8803
Mailing address
1687 WOODLANE DR, WOODBURY, MN 55125-3045
(651) 621-8803
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396932067
MASSAGE THERAPIST
MN
Enumeration date
02/05/2020
Last updated
02/05/2020
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