IndividualActive
Elia Stamboulieh
NPI 1639790512 · Home Modifications Contractor · Roseville, MN
Provider details
- NPI number
- 1639790512
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
2777 Lexington Ave,
Unit D
Roseville, MN 55113-2013
Phone: (206) 372-8877
Approximate (ZIP-level) locationGet directions
Mailing address
2777 Lexington Ave,
Roseville, MN 55113-2013
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2020-05-01
- Certified
- 2020-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.