Individual
ANITA XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
947 COUNTY ROAD D E, APT 103, SAINT PAUL, MN 55109-5290
(763) 276-3727
Mailing address
947 COUNTY ROAD D EAST APT 103, APT 103, SAINT PAUL, MN 55109
(763) 276-3727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1411674742
MN
363AM0700X
Medical Physician Assistant
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01134462
MHCP
MN
Enumeration date
09/08/2014
Last updated
07/21/2022
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