Individual
UMAPORN CHOKDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 E 24TH ST, 2, MINNEAPOLIS, MN 55404-3927
(612) 721-4003
Mailing address
1305 E 24TH ST, MINNEAPOLIS, MN 55404-3927
(612) 721-4003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R 202256-5
MN
Other
Enumeration date
09/13/2016
Last updated
03/24/2017
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