NPI 1093416372
Royal Crystals LLC
Practice location
- Address
- 832 142nd Ave NE, Ham Lake, MN 55304-6757
- Phone
- (612) 203-4758
Authorised official
- Name
- Matilda Pokuaah Agyapong
- Title
- Owner
- Phone
- (612) 203-4758
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1093416372
- Entity type
- Organization
- NPI issued
- 14 Mar 2023
- Record last updated
- 14 Mar 2023
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.