Individual
MR. ELIA STAMBOULIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2777 LEXINGTON AVE,, UNIT D, ROSEVILLE, MN 55113-2013
(206) 372-8877
Mailing address
2777 LEXINGTON AVE,, UNIT D, ROSEVILLE, MN 55113-2013
(206) 372-8877
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
MN
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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