Dom Songmouang

NPI 1184855264 - Home Health Aide - 374U00000X

NPI Details
NPI 1184855264
Gender Female
Enumeration Date 08/06/2009
Last Updated 08/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
379 UNIVERSITY AVE W STE 214
SAINT PAUL MN, 55103-2060, US
Phone (651) 665-0226
Fax (651) 204-0826
Business Location
379 UNIVERSITY AVE W STE 214
SAINT PAUL MN, 55103-2060, US
Phone
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Dom Songmouang NPI is 1184855264, taxonomy code is 374U00000X Dom Songmouang physically located at 379 University Ave W Ste 214, Saint Paul MN, 55103-2060. NPI Number Dom Songmouang has the Individual type.

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1184855264 NPI number is provided on an as is basis without warranty of any kind. 1184855264 is maintained by the National Plan & Provider Enumeration System. The contents of Dom Songmouang are for informational purposes only.