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NPI 1104645308

OrganizationActive

Princess Manes

NPI 1104645308 · Prosthetic/Orthotic Supplier · Minneapolis, MN

Provider details

NPI number: 1104645308
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Latisha Miller, Owner

Practice location

4171 Lyndale Ave N

Minneapolis, MN 55412-1737

Phone: (612) 451-9721

More MN providers

Mailing address

3123 Russell Ave N # 1

Minneapolis, MN 55411-1018

Registry dates

Enumerated: 2024-10-07
Last updated: 2025-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Princess Manes — NPI 1104645308, Minneapolis, MN | NPI Central