Individual
KAZOUA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 ARCADE ST, SAINT PAUL, MN 55106-2642
(651) 776-9910
(651) 776-9181
Mailing address
1148 ARCADE ST, SAINT PAUL, MN 55106-2642
(651) 776-9910
(651) 776-9181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 218686-7
MN
163WH0200X
Home Health Registered Nurse
R 218686-7
MN
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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