Individual
CHE DOUA THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LEAFLINE LABS, EAGAN, MN 55425
(651) 846-9245
Mailing address
935 LAWSON AVE E, SAINT PAUL, MN 55106-3218
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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