Organization
KABE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAN FARAH (OWNER)
(206) 817-5522
Entity
Organization
Contact information
Practice address
962 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4703
(612) 401-1786
Mailing address
962 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4703
(612) 401-1786
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
11/24/2021
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