Most Relevant Information
Provider Data
NPI Number: | 1003345539 |
Provider Name: | CASSANDRA WARREN L. AC |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: | 17636 |
Most Important Dates
Enumeration Date: | 06/08/2017 |
Last Updated: | 11/21/2023 |
Provider Practice Location
4445 W 77TH ST STE 215
EDINA
MN
554355158
Practice Location Phone/Fax
Phone: | 6513958385 |
Fax: |
Provider Mailing Location
4445 W 77TH ST STE 215
EDINA
MN
554355158
Provider Mailing Phone/Fax
Phone: | 6513958385 |
Fax: |