Individual provider · NPI-1

Tibeso Chirri Sr., TMA, CNA, PHILOB

Case Manager/Care Coordinator · Minneapolis, MN

NPI number1871983270
StatusActive
Last updated in NPPESJan 29, 2015

Details

NPI
1871983270
Entity type
Individual (NPI-1)
Name
Tibeso Chirri Sr.
Credential
TMA, CNA, PHILOB
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 23, 2015
Last updated
Jan 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
171W00000X Contractor––
172A00000X Driver––

Practice location

3222 Emerson Ave N
Minneapolis, MN 55412-2517

Phone 763-744-7615

Mailing address

3222 Emerson Ave N
Minneapolis, MN 55412-2517

Phone 763-744-7615

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