Individual
THEODORE YUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1162 STASSEN LN, WEST ST PAUL, MN 55118-2603
(612) 618-4569
Mailing address
1162 STASSEN LN, WEST ST PAUL, MN 55118-2603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
415036
MN
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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