NPI | 1730546672 |
---|---|
Doing Business As | CROWN MEDICAL SUPPORT SERVICES CLINIC |
Entity Type | Organization |
Authorized Contact | JOYCE IHIOMA ONYEKABA Medical Director 612-978-3783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MN 36657) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2024-02-26 |