Organization
PROGRESSIVE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKARIA MUHUMED (OWNER)
(612) 261-7454
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, SAINT PAUL, MN 55121-1567
(612) 261-7454
Mailing address
860 BLUE GENTIAN RD STE 200, SAINT PAUL, MN 55121-1567
(612) 261-7454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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