Individual
KHOUA CHER XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 IVY AVE E., SAINT PAUL, MN 55106
(651) 269-3549
Mailing address
911 IVY AVE E., SAINT PAUL, MN 55106
(651) 269-3549
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1094793
MN
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/18/2017
Last updated
10/29/2018
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