Individual
PANG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 17TH ST N, OAKDALE, MN 55128-5404
(612) 296-7636
Mailing address
7160 17TH ST N, OAKDALE, MN 55128-5404
(612) 296-7636
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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