Your Vision Achieved, Llc

NPI 1356752463 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1356752463
Enumeration Date 05/12/2014
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OLGA LIDIA OLGA
Position CHIEF EXECUTIVE OFFICER
Phone (612) 269-5313
Fax
Practice Location
5404 187TH STREET WEST
FARMINGTON MN, 55024, US
Phone (612) 269-5313
Fax
Business Location
5404 187TH ST W
FARMINGTON MN, 55024-8952, US
Phone (612) 269-5313
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Minnesota
License Number 1024
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According to our database, Your Vision Achieved, Llc NPI is 1356752463, taxonomy code is 106H00000X and license number is 1024, license state is located at Minnesota. Your Vision Achieved, Llc physically located at 5404 187th Street West, Farmington MN, 55024. NPI Number 1033115704 has the healthcare provider type.

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1356752463 NPI number is provided on an as is basis without warranty of any kind. 1356752463 is maintained by the National Plan & Provider Enumeration System. The contents of Your Vision Achieved, Llc are for informational purposes only.