Individual
LE PHUONG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10317 KENTUCKY AVE N, BROOKLYN PARK, MN 55445-3281
(763) 439-6476
Mailing address
10317 KENTUCKY AVE N, BROOKLYN PARK, MN 55445-3281
(763) 439-6476
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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