Healthcare Provider Details

I. General information

NPI: 1487573960
Provider Name (Legal Business Name): CYBELE STYLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 DIFFLEY RD STE 102
EAGAN MN
55122-2236
US

IV. Provider business mailing address

4365 CAPRICORN CT
EAGAN MN
55123-1850
US

V. Phone/Fax

Practice location:
  • Phone: 651-243-1227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NICOLE YOKOM
Title or Position: CEO
Credential:
Phone: 952-807-5855