Organization
ROYAL CRYSTALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA POKUAAH AGYAPONG RN,BSN, ALD (OWNER)
(612) 203-4758
Entity
Organization
Contact information
Practice address
832 142ND AVE NE, HAM LAKE, MN 55304-6757
(612) 203-4758
Mailing address
832 142ND AVE NE, HAM LAKE, MN 55304-6757
(612) 203-4758
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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