Blooming Ridge LLC
NPI #1568286458 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1568286458
- Entity Type
- Organization
- Organization Name
- Blooming Ridge LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 8, 2024
- Last Updated
- Nov 8, 2024
Practice Location
- Address
- 1600 E 80TH ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1167
- Phone
- (612) 205-7792
Authorized Official
- Name
- MARIAM FARAH
- Title
- OWNER
- Phone
- (612) 205-7792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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