Individual
PA KOU VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 UNIVERSITY AVE W STE 123B, SAINT PAUL, MN 55103-3901
(651) 641-8660
(651) 641-8652
Mailing address
225 UNIVERSITY AVE W STE 123B, SAINT PAUL, MN 55103-3901
(651) 641-8660
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2458998
MN
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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