Organization
KRAINA SUPPLIES
Active
Other names
Kraina Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HIJAH BAKER (EXECUTIVE DIRECTOR)
(612) 251-1619
Entity
Organization
Contact information
Practice address
5606 SUMTER AVE N, CRYSTAL, MN 55428-3312
(612) 521-1619
(763) 219-8482
Mailing address
5606 SUMTER AVE N, CRYSTAL, MN 55428-3312
(612) 521-1619
(763) 219-8482
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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