Individual
SAMUEL KUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5228 94TH LN N, BROOKLYN PARK, MN 55443-2434
(612) 695-5091
Mailing address
5228 94TH LN N, BROOKLYN PARK, MN 55443-2434
(608) 628-6128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1118231
MN
Other
Enumeration date
03/20/2023
Last updated
05/03/2023
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