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Individual

MR. HNIA XIONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1585 STILLWATER AVE, SAINT PAUL, MN 55106-3626
(651) 795-1022
Mailing address
1585 STILLWATER AVE, SAINT PAUL, MN 55106-3626
(651) 795-1022

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
374U00000X
Home Health Aide
Primary
1094859-1-HCBS
MN
374U00000X
Home Health Aide
1096660-1-AFC
MN

Other

Enumeration date
02/24/2019
Last updated
02/25/2019
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