Joycene M Walstrom And Associates INC
Clinic/Center in Fridley, MN. Organization (NPI-2).
NPI number1922166966
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1922166966
- Entity type
- Organization (NPI-2)
- Legal business name
- Joycene M Walstrom And Associates INC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 300206 | MN | Yes |
Practice location
7671 Central Ave NeFridley, MN 55432-3575
Phone 763-786-8057
Mailing address
7671 Central Ave NeFridley, MN 55432-3575
Phone 763-786-8057
Authorized official
Joycene M Ryan
President
7637868067
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