Organization
MEDICAL SUPPLIES & UNIFORMS - HCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KUSI MENSAH (OWNER)
(612) 545-8027
Entity
Organization
Contact information
Practice address
8062 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2407
(763) 657-0457
Mailing address
8062 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2407
(763) 657-0457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L0673875456
MN
Other
Enumeration date
03/16/2013
Last updated
03/16/2013
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