Individual
CHAU NGOC BANH STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15080 OAKCREST CT, SAVAGE, MN 55378-4650
(952) 297-7654
Mailing address
15080 OAKCREST CT, SAVAGE, MN 55378-4650
(952) 297-7654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00000436
MN
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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