Individual provider · NPI-1

Le Phuong Ly

Home Health Aide · Brooklyn Park, MN

NPI number1760008007
StatusActive
Last updated in NPPESJun 23, 2020

Details

NPI
1760008007
Entity type
Individual (NPI-1)
Name
Le Phuong Ly
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2020
Certification date
Jun 23, 2020
Last updated
Jun 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

10317 Kentucky Ave N
Brooklyn Park, MN 55445-3281

Phone 763-439-6476

Mailing address

10317 Kentucky Ave N
Brooklyn Park, MN 55445-3281

Phone 763-439-6476

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