Individual
PHENGSY T KINGSAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 UNIVERSITY AVE W STE 214, SAINT PAUL, MN 55103-2060
(651) 665-0226
(651) 204-0826
Mailing address
379 UNIVERSITY AVE W, STE 214, ST. PAUL, MN 55103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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