Tou Su Taylor Kong

NPI #1194270801 in Saint Paul, Minnesota

Provider Information

NPI Number: 1194270801
Entity Type: Individual
Name: Tou Su Taylor Kong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 23, 2016
Last Updated: Aug 23, 2016

Practice Location

Address: 33 BATTLE CREEK PL
City: Saint Paul
State: Minnesota
ZIP Code: 55119-4909
Phone: (651) 263-2866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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