Organization
AHAVAH BIRTHWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA SHARP CD (EXECUTIVE DIRECTOR)
(763) 516-6148
Entity
Organization
Contact information
Practice address
2512 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1737
(612) 354-2629
Mailing address
2512 WEST BROADWAY AVE NORTH, MINNEAPOLIS, MN 55429
(612) 354-2629
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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