Minneosta Wellness Center LLC
NPI #1821533779 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1821533779
- Entity Type
- Organization
- Organization Name
- Minneosta Wellness Center LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Jan 2, 2017
- Last Updated
- Jan 2, 2017
Practice Location
- Address
- 808 BERRY ST APT 192
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55114-1082
- Phone
- (612) 618-5841
Authorized Official
- Name
- MRS. UBAH ABUBAKER SHIRWA
- Title
- OWNER
- Phone
- (612) 618-5841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Point of Service |
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