Individual
ELIZABETH VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 N 17TH ST, MILWAUKEE, WI 53233-4138
(414) 288-5688
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-4138
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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