Organization
BLUE SKY VITAMIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DENIS LEDOUX DC (CEO)
(612) 270-5011
Entity
Organization
Contact information
Practice address
160 83RD AVE NE STE 106, FRIDLEY, MN 55432-1846
(800) 743-1406
Mailing address
160 83RD AVE NE STE 106, FRIDLEY, MN 55432-1846
(800) 743-1406
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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