Individual
YA RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(651) 802-2533
Mailing address
1445 JESSAMINE AVE W APT 110, SAINT PAUL, MN 55108-2642
(978) 726-9626
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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