SearchMinnesota163W00000X

Rungravee Pattanaolarn

NPI 1760112528 · on the registry since 2022 · sole proprietor

Practice

Address
15465 91st Ave N
Maple Grove, MN 55369
Phone
(612) 396-8954

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-14

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