Doctor Name: | CONNOR HANG MONOROM |
NPI Number: | 1073717690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | REGISTERED NURSE |
License Number: | R 141319-1 |
Business Practice Address: | 16876 Jasper Path Lakeville, MN - 550445679 |
Business Phone Number: | 9527024269 |
Business Fax Number: | |
Mailing Address: | 16876 Jasper Path, LAKEVILLE |
State: | MN |
Postal Code: | 550445679 |
Phone Number: | 9527024269 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | R 141319-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |