NPI 1649555715

Mystical Rose Chiropractic LLC

Organisation Health Maintenance Organization Bloomington, MN

Practice location

Address: 8200 Humboldt Ave S Suite 204, Bloomington, MN 55431-1433
Phone: (952) 884-6144
Fax: (952) 884-9180

Authorised official

Name: Catherine Wanjiru Njogu
Title: President
Phone: (612) 310-8662

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1094 (MN)

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Registry record

NPI: 1649555715
Entity type: Organization
NPI issued: 20 Oct 2011
Record last updated: 15 Apr 2013

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.