Individual
MISS SIRIPEN SEEPAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1041 W ELM ST, LAKE CITY, MN 55041-2026
(651) 345-9916
Mailing address
1041 W ELM ST, LAKE CITY, MN 55041-2026
(651) 345-9916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 156328-7
MN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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