KENG MOUA

MADISON, WI
NPI1639802135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-07-03
Last Update Date2023-09-07
Business Address
KENG MOUA
1614 FORDEM AVE APT 106
MADISON, WI 53704-4646
Phone number: 414-303-2469
Mailing Address
KENG MOUA
1614 FORDEM AVE APT 106
MADISON, WI 53704-4646
Phone number: 414-303-2469
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