Provider Demographics
NPI:1679918825
Name:HANG, SOKUNTHEARI
Entity type:Individual
Prefix:
First Name:SOKUNTHEARI
Middle Name:
Last Name:HANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 ALBEMARLE ST APT 107
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-3811
Mailing Address - Country:US
Mailing Address - Phone:612-298-4772
Mailing Address - Fax:
Practice Address - Street 1:1551 ALBEMARLE ST APT 107
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-3811
Practice Address - Country:US
Practice Address - Phone:612-298-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide