Individual
MAILY MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 MOGAN AVNUE N, MINNEAPOLIS, MN 55411
(612) 588-9226
Mailing address
2826 MOGAN AVNUE N, MINNEAPOLIS, MN 55411
(612) 588-9226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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