Individual
TIBESO CHIRRI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TMA, CNA, PHILOB
Contact information
Practice address
3222 EMERSON AVE N, MINNEAPOLIS, MN 55412-2517
(763) 744-7615
Mailing address
3222 EMERSON AVE N, MINNEAPOLIS, MN 55412-2517
(763) 744-7615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
Other
Enumeration date
01/23/2015
Last updated
01/29/2015
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