Individual
MOULAY YOUNES ELIDRISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 W LAKE ST # 107, MINNEAPOLIS, MN 55408-2963
(612) 216-4705
Mailing address
720 W LAKE ST # 107, MINNEAPOLIS, MN 55408-2963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000
MN
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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