Organization
AQUATALLY
Active
Organization
AQUATALLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE BISCHOFF RN (FOUNDER)
(651) 336-5641
Entity
Organization
Contact information
Practice address
1694 RED FOX DR, RED WING, MN 55066-1468
(651) 336-5641
Mailing address
1694 RED FOX DR, RED WING, MN 55066-1468
(651) 336-5641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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