Blossom Wellness LLC
NPI #1164289690 in Oakdale, Minnesota
Provider Information
- NPI Number
- 1164289690
- Entity Type
- Organization
- Organization Name
- Blossom Wellness LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 1, 2024
- Last Updated
- Mar 1, 2024
Practice Location
Authorized Official
- Name
- ELVIS TAMBI STARLLONE, CNP
- Title
- OWNER
- Phone
- (651) 410-7955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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