SOURIYA MOUA

ANOKA, MN
NPI1710754049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1907)
Enumeration Date2023-12-06
Last Update Date2023-12-22
Business Address
SOURIYA MOUA
7637 OLD VIKING BLVD NW
ANOKA, MN 55303-9714
Phone number: 507-530-4501
Mailing Address
SOURIYA MOUA
7637 OLD VIKING BLVD NW
ANOKA, MN 55303-9714
Phone number: 507-530-4501
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