Individual
THOMAS ROBERT SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 UNIVERSITY AVE W, SUITE 160, SAINT PAUL, MN 55114-1839
(651) 917-3634
(651) 917-3620
Mailing address
360 COTTAGE AVE W APT 24, SAINT PAUL, MN 55117-4316
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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