Individual
KAO MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 UNIVERSITY AVE W STE 295, SAINT PAUL, MN 55104-2801
(651) 470-9549
Mailing address
1821 UNIVERSITY AVE W STE 295, SAINT PAUL, MN 55104-2801
(651) 470-9549
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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