| Blossom Wellness Llc | |
|
625 Hayward Ave N Oakdale MN 55128-7127 | |
| (651) 410-7955 | |
| Not Available |
| Full Name | Blossom Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 625 Hayward Ave N, Oakdale, Minnesota |
| Authorized Official Name and Position | Elvis Tambi Starllone (OWNER) |
| Authorized Official Contact | 6514107955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Wellness Llc 625 Hayward Ave N Oakdale MN 55128-7127 Ph: (651) 410-7955 | Blossom Wellness Llc 625 Hayward Ave N Oakdale MN 55128-7127 Ph: (651) 410-7955 |
| NPI Number | 1164289690 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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