Individual
LOUSIE HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 MINNEHAHA AVE W, SAINT PAUL, MN 55104-3689
(651) 261-3598
Mailing address
1420 MINNEHAHA AVE W, SAINT PAUL, MN 55104-3689
(651) 261-3598
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
1077503
MN
372600000X
Adult Companion
Primary
1077503
MN
373H00000X
Day Training/Habilitation Specialist
1077503
MN
376J00000X
Homemaker
1077503
MN
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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