Individual provider · Type 1 NPI
Elia Stamboulieh
Home Modifications Contractor · Roseville, MN
NPI number
1639790512
Active
Practice location
2777 Lexington Ave,, Unit D
Roseville, MN 55113-2013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1639790512
Elia Stamboulieh's National Provider Identifier is 1639790512, issued on May 1, 2020. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Roseville, MN. The record was last updated on May 1, 2020.