JEROME CHIA DJAM

CHISAGO CITY, MN
NPI1154551885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MN  1050106-2-AFC)
Enumeration Date2009-07-15
Last Update Date2009-07-15
Business Address
Mr. JEROME CHIA DJAM
11600 INTERLACHEN RD
CHISAGO CITY, MN 55013-7311
Phone number: 651-558-1454
Mailing Address
Mr. JEROME CHIA DJAM
11600 INTERLACHEN RD
CHISAGO CITY, MN 55013-7311
Phone number: 651-558-1454