Blaze Castle
NPI #1801613211 in North St Paul, Minnesota
Provider Information
- NPI Number
- 1801613211
- Entity Type
- Individual
- Name
- Blaze Castle
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 2365 MCKNIGHT RD N
- City
- North St Paul
- State
- Minnesota
- ZIP Code
- 55109-2238
- Phone
- (763) 316-7798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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