Individual
SOUA KHOUA LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1148 ARCADE STREET, SAINT PAUL, MN 55106
(651) 776-9910
(651) 776-9181
Mailing address
1148 ARCADE STREET, SAINT PAUL, MN 55106
(651) 793-6901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-197766-6
MN
Other
Enumeration date
03/28/2011
Last updated
10/31/2014
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