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: |