Individual
AMANDA R DEOWDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7515 LYNDALE AVE S, RICHFIELD, MN 55423-4091
(651) 269-1899
Mailing address
7515 LYNDALE AVE S, RICHFIELD, MN 55423-4091
(651) 269-1899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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