NICHOLAS BASIL LOUDAS
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1043605140- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1575 BEAM AVE, MAPLEWOOD, MN, 551091126
- Phone
- (651) 232-7970
Specialties & Taxonomies
Unknown
Primary License: MN #78623
Unknown
License: IA #1250224
Student in an Organized Health Care Education/Training Program