Organization
LIVING LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHYA SHARIF (OWNER)
(763) 313-5113
Entity
Organization
Contact information
Practice address
2499 RICE ST STE 135, ROSEVILLE, MN 55113-3724
(763) 313-5113
Mailing address
2499 RICE ST STE 135, ROSEVILLE, MN 55113-3724
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/20/2024
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