Organization
DIVERSITY WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYMUNA ABDULKADIR MOHAMUD (OWNER)
(612) 598-2515
Entity
Organization
Contact information
Practice address
2739 5TH AVE S, MINNEAPOLIS, MN 55408-1750
(612) 598-2515
Mailing address
2739 5TH AVE S, MINNEAPOLIS, MN 55408-1750
(612) 598-2515
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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