Organization
YOUR PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HANSEN (OWNER)
(612) 895-1511
Entity
Organization
Contact information
Practice address
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114-1778
(612) 895-1511
Mailing address
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114-1778
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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