Individual
BAI LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 LARPENTEUR AVE E, SAINT PAUL, MN 55109-4810
(651) 278-6176
Mailing address
5208 165TH ST N, HUGO, MN 55038-9524
(651) 278-6176
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
12/10/2024
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