Organization
AQUAD WELLNESS GROUP LLC
Active
Organization
AQUAD WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIWELI MOHAMED ELMI (OWNER)
(612) 669-3904
Entity
Organization
Contact information
Practice address
6482 BARCLAY AVE, INVER GROVE HEIGHTS, MN 55077-2165
(612) 669-3904
Mailing address
10805 173RD ST W APT 228, LAKEVILLE, MN 55044-5341
(612) 669-3904
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/27/2024
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