Individual
ARMANDO CAVAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 WABASHA ST S APT 330, SAINT PAUL, MN 55107-1856
(612) 205-2086
Mailing address
84 WABASHA ST S APT 330, SAINT PAUL, MN 55107-1856
(612) 205-2086
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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