Organization
BELLA LUNA WOMAN CARE LLC
Active
Other names
Bella Mama Lactation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASZANI STODDARD KUNKLER CNM, MSN (OWNER)
(612) 356-4072
Entity
Organization
Contact information
Practice address
968 GRAND AVE, SAINT PAUL, MN 55105-3014
(651) 895-2520
(651) 330-3768
Mailing address
968 GRAND AVE, SAINT PAUL, MN 55105-3014
(651) 895-2520
(651) 330-3768
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R192674-3
MN
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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