Individual
KABLIA TAO MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
635 IVY AVE E, SAINT PAUL, MN 55130-3422
(651) 771-2420
(651) 771-2421
Mailing address
635 IVY AVE E, SAINT PAUL, MN 55130-3422
(651) 771-2420
(651) 771-2421
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
23774
MN
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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