Maxton Agency LLC

NPI #1013795574 in Blaine, Minnesota

Provider Information

NPI Number
1013795574
Entity Type
Organization
Organization Name
Maxton Agency LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Sep 18, 2023
Last Updated
Sep 18, 2023

Practice Location

Address
1120 112TH LN NE
City
Blaine
ZIP Code
55434-4547
Phone
(612) 735-1096

Authorized Official

Name
ESTHER O IDOWU
Title
PRESIDENT
Phone
(612) 735-1096

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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