NPI | 1679989065 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE ELIZABETH PARKER Owner 763-229-8508 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN R11529-5) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |