PHENG THAO

SAINT PAUL, MN
NPI1134721939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: MN  2485063)
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
PHENG THAO rn
1615 EUCLID ST
SAINT PAUL, MN 55106-5905
Phone number: 651-210-7681
Mailing Address
PHENG THAO rn
1615 EUCLID ST
SAINT PAUL, MN 55106-5905
Phone number: 651-210-7681
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