JOHN LOUIE HIDALGO BONGABONG

BURNSVILLE, MN
NPI1700644820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
JOHN LOUIE HIDALGO BONGABONG
1517 HIGHWAY 13 E
BURNSVILLE, MN 55337-2917
Phone number: 612-756-9107
Mailing Address
JOHN LOUIE HIDALGO BONGABONG
1056 PACIFIC ST
SAINT PAUL, MN 55106-6428
Phone number: 612-232-0665