| Pure Health Mn Llc | |
|
2059 Randolph Ave, Saint Paul, MN 55105-1751 | |
| (612) 345-8004 | |
| Not Available |
| Full Name | Pure Health Mn Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2059 Randolph Ave, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144093667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | David Gerard Mancini |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679649610 PECOS PAC ID: 1153320627 Enrollment ID: I20210106002143 |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Health Mn Llc 2059 Randolph Ave, Saint Paul, MN 55105-1751 Ph: () - | Pure Health Mn Llc 2059 Randolph Ave, Saint Paul, MN 55105-1751 Ph: (612) 345-8004 |
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