| Blossom Healthcare Services Llc | |
|
1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 | |
| (651) 302-9281 | |
| Not Available |
| Full Name | Blossom Healthcare Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1875 Plaza Dr Ste 12c, Saint Paul, Minnesota |
| Authorized Official Name and Position | Yahye Mohamed Takal (OWNER) |
| Authorized Official Contact | 6513029281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Healthcare Services Llc 1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 Ph: (651) 302-9281 | Blossom Healthcare Services Llc 1875 Plaza Dr Ste 12c Saint Paul MN 55122-2613 Ph: (651) 302-9281 |
| NPI Number | 1215769005 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215769005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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