| NPI | 1952629115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAZIONG ESTELLE LO-VANG Owner 651-214-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 1403) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |