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NPI Code Detail

MEDICARE: BRIA MELIN FLORELL CAB-CD, LCCE

MEDICARE:   BRIA MELIN FLORELL  CAB-CD, LCCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1891550323
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIA MELIN FLORELL CAB-CD, LCCE
Provider Business Mailing Address
First Line : 914 QUEEN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 914 QUEEN AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3643
Country : US
Telephone Number : 612-226-5269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2024
Last Update Date : 02/14/2024

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Directions to “ BRIA MELIN FLORELL CAB-CD, LCCE” Practice Location

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