Organization
ULTIMATE SUCCESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE FOUNTAINE (DIRECTOR/OWNER)
(612) 545-5612
Entity
Organization
Contact information
Practice address
4161 MINNEHAHA AVE, 1, MINNEAPOLIS, MN 55406-4339
(612) 545-5612
Mailing address
4161 MINNEHAHA AVE, 1, MINNEAPOLIS, MN 55406-4339
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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