Individual
CHOUA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4716 205TH AVE, HANLEY FALLS, MN 56245-3091
(507) 763-3033
Mailing address
4716 205TH AVE, HANLEY FALLS, MN 56245-3091
(507) 763-3033
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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