Individual
PANG FOUA HER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 WESTERN AVE N, SAINT PAUL, MN 55103-1668
(651) 410-0892
Mailing address
676 WESTERN AVE N, SAINT PAUL, MN 55103-1668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2263654
MN
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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