Individual
SIU-YUE TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 NOBLE RD, ARDEN HILLS, MN 55112-7834
(651) 490-1215
Mailing address
1839 NOBLE RD, ARDEN HILLS, MN 55112-7834
(651) 490-1215
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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