Individual
VINCENT MIKAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8119 UPTON AVE S, BLOOMINGTON, MN 55431-1235
(612) 203-7090
Mailing address
8119 UPTON AVE S, BLOOMINGTON, MN 55431-1235
(612) 203-7090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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