Individual
MAICHA LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 SHERBURNE AVE, SAINT PAUL, MN 55103-1942
(651) 291-2520
Mailing address
423 SHERBURNE AVE, SAINT PAUL, MN 55103-1942
(651) 291-2520
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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