Individual
SEIPATI VALERIE KGOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
364 SUNSET AVE, 306, LAKE PARK, MN 60506
(218) 234-5238
Mailing address
178 MEADOW LN APT 203, DETROIT LAKES, MN 56501-2455
(218) 234-5238
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
MN
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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