Individual
PENG G XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 FILLMORE ST NE, MINNEAPOLIS, MN 55418-4607
(612) 788-4223
Mailing address
1935 FILLMORE ST NE, MINNEAPOLIS, MN 55418-4607
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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