KHOUNKHAM KEOVILAJ

SAINT PAUL, MN
NPI1013162742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2008-11-21
Last Update Date2008-11-21
Business Address
KHOUNKHAM KEOVILAJ
23 EMPIRE DR SUITE 123
SAINT PAUL, MN 55103-1856
Phone number: 651-222-2787
Mailing Address
KHOUNKHAM KEOVILAJ
1124 7TH AVE
WORTHINGTON, MN 56187-2212
Phone number: 507-372-5670