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Souriya Moua
NPI 1710754049 · on the registry since 2023 · sole proprietor
Practice
- Address
- 7637 Old Viking Blvd Nw
Anoka, MN 55303 - Phone
- (507) 530-4501
- Fax
- (763) 559-1195
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota