SAMANE KHAMISENG

SAINT PAUL, MN
NPI1033301965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
-- SAMANE KHAMISENG
23 EMPIRE DR SUITE 123
SAINT PAUL, MN 55103-1856
Phone number: 651-222-2787
Mailing Address
-- SAMANE KHAMISENG
1217 MILTON AVE
WORTHINGTON, MN 56187-1835
Phone number: 507-727-1355