Most Relevant Information
Provider Data
| NPI Number: | 1003588443 |
| Provider Name: | OCEANA KALIA VANG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2021 |
| Last Updated: | 10/04/2021 |
Provider Practice Location
8980 ZACHARY LN N
MAPLE GROVE
MN
553694018
Practice Location Phone/Fax
| Phone: | 7632312000 |
| Fax: |
Provider Mailing Location
8980 ZACHARY LN N
MAPLE GROVE
MN
553694018
Provider Mailing Phone/Fax
| Phone: | 7632312000 |
| Fax: |