Individual
EMEA PAULINE HIPOLITO PARUNGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MEADOWLANDS DR UNIT 12, WHITE BEAR LAKE, MN 55127-2339
(612) 445-0300
Mailing address
1717 PARKSHORE DR APT 2111, SAINT PAUL, MN 55112-3918
(208) 713-0201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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