Individual
CHONG PAO THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 EMPIRE DRIVE, SUITE 123, ST PAUL, MN 55103
(651) 222-2787
(651) 224-1057
Mailing address
1770 5TH STREET, ST PAUL, MN 55106
(651) 293-1033
(651) 224-1057
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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