Individual
MIATTA SEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
575 CALIFORNIA AVE E, SAINT PAUL, MN 55130-3011
(651) 235-2363
Mailing address
5775 WAYZATA BLVD, SUITE 700, ST LOUIS PARK, MN 55416-1222
(651) 235-2363
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348032
CLASS A PROFESSIONAL HOME HEALTH AGENCY
MN
Enumeration date
08/28/2010
Last updated
08/28/2010
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