Individual
TONG XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1092 COOK AVE E, SAINT PAUL, MN 55106-3323
(651) 235-5739
Mailing address
1092 COOK AVE E, SAINT PAUL, MN 55106-3323
(651) 235-5739
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
108423-1-AFC
MN
374U00000X
Home Health Aide
Primary
1085126-1-HCBS
MN
Other
Enumeration date
04/13/2017
Last updated
10/13/2017
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