Individual
MS. PESEY KUOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15401 LAKE STREET EXT, MINNETONKA, MN 55345-1914
(612) 666-8232
Mailing address
15401 LAKE STREET EXT, MINNETONKA, MN 55345-1914
(612) 666-8232
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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