Individual
MR. ELMES K MULBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11662 99TH PL N, MAPLE GROVE, MN 55369-3224
(866) 890-2310
Mailing address
4720 OXBOROUGH CT, BROOKLYN PARK, MN 55443-3995
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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