RICKY THONGLYVONG

SAINT PAUL, MN
NPI1891015681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2010-06-03
Last Update Date2010-06-03
Business Address
-- RICKY THONGLYVONG
23 EMPIRE DR SUITE 123
SAINT PAUL, MN 55103-1856
Phone number: 651-222-2787
Mailing Address
-- RICKY THONGLYVONG
803 3RD AVE
WORTHINGTON, MN 56187-2322
Phone number: 651-222-2787