Provider First Line Business Practice Location Address:
MASHKIKI WAAKAIGEN
Provider Second Line Business Practice Location Address:
1433 EAST FRANKLIN AVENUE SUITE 11 & 13B
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-871-1989
Provider Business Practice Location Address Fax Number:
612-874-9128
Provider Enumeration Date:
11/20/2007