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Contact Information

PEUANG BACCAM
7515 11TH AVE S
RICHFIELD, MN55423-4504
 Phone: 612-861-2337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for PEUANG BACCAM · (Female)

NPI # 1992927602
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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