Organization
DIY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL CYCENAS M.DIV. (DIRECTOR OF BUSINESS DEVELOPMENT)
(763) 516-8068
Entity
Organization
Contact information
Practice address
3634 WHITE BEAR AVE N, SAINT PAUL, MN 55110-4471
(763) 516-8068
Mailing address
3634 WHITE BEAR AVE N, SAINT PAUL, MN 55110-4471
(763) 516-8068
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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