Provider Demographics
NPI:1508599689
Name:MOUA, ARRONY KAO ZONG
Entity Type:Individual
Prefix:
First Name:ARRONY
Middle Name:KAO ZONG
Last Name:MOUA
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 1:1867 BEAUMONT ST
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1907
Mailing Address - Country:US
Mailing Address - Phone:651-703-4440
Mailing Address - Fax:
Practice Address - Street 1:1867 BEAUMONT ST
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55117-1907
Practice Address - Country:US
Practice Address - Phone:651-703-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker