Organization
MEDICAL SUPPLY AND UNIFORMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KUSI MENSAH (OWNER)
(612) 599-2697
Entity
Organization
Contact information
Practice address
6245 104TH CIR N, BROOKLYN PARK, MN 55443-1026
(612) 599-2697
Mailing address
6245 104TH CIR N, BROOKLYN PARK, MN 55443-1026
(612) 599-2697
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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