| NPI | 1073811543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM OLIVE ATTIAS MAGANA President 952-715-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 6170) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |