| NPI | 1740459932 |
|---|---|
| Former Legal Business Name | VJA COOPERATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | AMANDA H BIES Services Administrator 612-296-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN A173908000) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |