Vang Moua is a Driver based in Milwaukee, WI. Vang Moua practices in Milwaukee, WI. The NPI Number for Vang Moua is 1518428721 and holds a License No. M0008638320601 (Wisconsin).
The current practice location address for Vang Moua is 5950 N 74Th St, Milwaukee, WI and can be reached out via phone at 414-374-2520.
Location: 5950 N 74Th St, Milwaukee, WI, 53218-1830
Provider Profile Details
NPI Number
1518428721
Provider Name
Vang Moua
Credential
Provider Entity Type
Individual
Gender
Male
Address
5950 N 74Th St, Milwaukee, WI, 53218-1830
Phone Number
414-374-2520
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0008638320601 | 01 | WI | DRIVER'S LICENSE |
Provider Business Practice Location Address Details
Address
5950 N 74Th St
City
State
Zip
53218-1830
Phone Number
414-374-2520
Fax Number
Provider Business Mailing Address Details
Address
5950 N 74Th St
City
State
Zip
53218-1830
Phone Number
414-374-2520
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
M0008638320601 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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