Individual
LESLIE JEAN PRAIRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
2854 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3056
(612) 788-0895
Mailing address
2854 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3056
(612) 788-0895
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1573
MN
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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