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Search › Minnesota › 183500000X

Sim Sotheanet Youk

NPI 1164182614 · on the registry since 2021 · sole proprietor

Practice

Address
25 25th St Se
Rochester, MN 55904
Phone
(507) 292-1475
Organisation at this address
Walmart Inc.
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-25

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