Individual
SIVUN LENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13201 RIDGEDALE DR, MINNETONKA, MN 55305-1809
(952) 542-8266
Mailing address
13201 RIDGEDALE DR, MINNETONKA, MN 55305-1809
(952) 542-8266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124610
MN
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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