Individual provider · NPI-1

Daniel Augustine, CAPS

Contractor, Home Modifications · Minneapolis, MN

NPI number1376713818
StatusActive
Last updated in NPPESApr 19, 2011

Details

NPI
1376713818
Entity type
Individual (NPI-1)
Name
Mr. Daniel Augustine
Credential
CAPS
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2008
Last updated
Apr 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WH0202X Contractor, Home Modifications20065360MNYes

Practice location

509 W 22nd St
Ll
Minneapolis, MN 55405-3202

Phone 612-724-1911 · Fax 612-724-1851

Mailing address

509 W 22nd St
Ll
Minneapolis, MN 55405-3202

Phone 612-724-1911 · Fax 612-724-1851

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