SILAS KFUSALU WAINDIM

COTTAGE GROVE, MN
NPI1093123044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: MN  USDOT2493341)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
Mr. SILAS KFUSALU WAINDIM Mr
8923 GREYSTONE AVE S
COTTAGE GROVE, MN 55016-2761
Phone number: 651-304-0541
Mailing Address
Mr. SILAS KFUSALU WAINDIM Mr
8923 GREYSTONE AVE S
COTTAGE GROVE, MN 55016-2761
Phone number: 651-304-0541