Individual
VINH MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 PELICAN RIVER RD, DETROIT LAKES, MN 56501-6954
(218) 841-5336
Mailing address
549 PELICAN RIVER RD, DETROIT LAKES, MN 56501-6954
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1083363
MN
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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