Individual
AROUN MANIVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 EMPIRE DR, SUITE 123, SAINT PAUL, MN 55103-1856
(651) 222-2787
(651) 224-1057
Mailing address
1364 EAGLE CREEK BLVD APT 203, SHAKOPEE, MN 55379-2969
(952) 445-2183
(651) 224-1057
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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