KULLE BASHA
Individual Provider (NPI-1)
Active
Specialist/Technologist, Other
Provider Information
- NPI Number
1386325082- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11178 ABLE ST NE, BLAINE, MN, 554345505
- Phone
- (952) 297-7855
Specialties & Taxonomies
Specialist/Technologist, Other
Primary
All Addresses
MAILING
11178 ABLE ST NE
BLAINE, MN, 554345505