| Your Path, Llc | |
|
700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 | |
| (612) 895-1511 | |
| Not Available |
| Full Name | Your Path, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 700 Raymond Ave Ste 130, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jordan Hansen (OWNER) |
| Authorized Official Contact | 6128951511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Path, Llc 700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 Ph: () - | Your Path, Llc 700 Raymond Ave Ste 130 Saint Paul MN 55114-1778 Ph: (612) 895-1511 |
| NPI Number | 1093451361 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093451361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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