Zong Vang
Contractor in Madison, WI. Individual provider (NPI-1).
NPI number1982467759
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1982467759
- Entity type
- Individual (NPI-1)
- Name
- Zong Vang
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2024
- Certification date
- Jan 25, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
5516 Levitan LnMadison, WI 53718
Phone 608-471-2232
Mailing address
5516 Levitan LnMadison, WI 53718
Phone 608-471-2232
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