Individual
MYRIAH SHINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6826 HUMBOLDT AVE N, BROOKLYN CENTER, MN 55430-1536
(612) 221-9350
Mailing address
PO BOX 29850, BROOKLYN PARK, MN 55429-0850
(612) 221-9350
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
305S00000X
Point of Service
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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