NPI 1013736214
Princess Manes
Practice location
- Address
- 4171 Lyndale Ave N, Minneapolis, MN 55412-1737
- Phone
- (612) 451-9721
- Mailing address
- 3123 Russell Ave N # 1, Minneapolis, MN 55411-1018
Authorised official
- Name
- La Tisha Miller
- Title
- Owner
- Phone
- (612) 743-2688
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1013736214
- Entity type
- Organization
- NPI issued
- 7 Oct 2024
- Record last updated
- 7 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.