| Pacific Care LLC | |
|
1916 E 86th St # 410 Bloomington MN 55425-2119 | |
| (612) 987-8534 | |
| Not Available |
| Full Name | Pacific Care LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1916 E 86th St # 410, Bloomington, Minnesota |
| Authorized Official Name and Position | Jameel Mohamed (OWNER) |
| Authorized Official Contact | 6129878534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Care LLC 1916 E 86th St # 410 Bloomington MN 55425-2119 | Pacific Care LLC 1916 E 86th St # 410 Bloomington MN 55425-2119 Ph: (612) 987-8534 |
| NPI Number | 1063148138 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063148138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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