Individual
JATO AMBO CHABSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 UNIVERSITY AVE W STE S105, SAINT PAUL, MN 55104-2804
(651) 815-2375
Mailing address
1821 UNIVERSITY AVE W STE S105, SAINT PAUL, MN 55104-2804
(651) 815-2375
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
MN
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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