Individual
MISS SUE KIACHIATONG XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1049 PAYNE AVE, SAINT PAUL, MN 55130-3840
(651) 793-7635
Mailing address
1049 PAYNE AVE, SAINT PAUL, MN 55130-3840
(651) 793-7635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163W00000X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1557552
REGISTERED NURSE
MN
Enumeration date
10/16/2007
Last updated
10/16/2007
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