Individual
SUE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
763 MILTON ST N, SAINT PAUL, MN 55104-1530
(651) 503-9991
(651) 487-4046
Mailing address
763 MILTON ST N, SAINT PAUL, MN 55104-1530
(651) 503-9991
(651) 487-4046
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
06/19/2008
Last updated
07/08/2008
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