Whalio Doctors

NPI 1093416372

Royal Crystals LLC

Organisation Public Health or Welfare Agency Ham Lake, MN

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
Agencies Taxonomy 251K00000X

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.