Individual
SHIMELES YAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 57TH PL NE, FRIDLEY, MN 55432-5422
(612) 701-4956
Mailing address
131 57TH PL NE, FRIDLEY, MN 55432-5422
(612) 701-4956
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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