Hozho Psychiatry & Wellness Pllc | |
860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 | |
(612) 619-0021 | |
Not Available |
Full Name | Hozho Psychiatry & Wellness Pllc |
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Speciality | Clinic/center |
Location | 860 Blue Gentian Rd Ste 200, Eagan, Minnesota |
Authorized Official Name and Position | Melvina Deneal Bissonette (OWNER) |
Authorized Official Contact | 6126190021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hozho Psychiatry & Wellness Pllc 4321 Nokomis Ave Minneapolis MN 55406-3717 Ph: (612) 619-0021 | Hozho Psychiatry & Wellness Pllc 860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 Ph: (612) 619-0021 |
NPI Number | 1104653161 |
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Provider Enumeration Date | 09/16/2024 |
Last Update Date | 10/08/2024 |
Certification Date | 10/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104653161 | NPI | - | NPPES |
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