LY LUE VANG

FORT BLISS, TX
NPI1932989845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-09-29
Last Update Date2023-09-29
Business Address
LY LUE VANG
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-7777
Mailing Address
LY LUE VANG
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: