Individual
DARIN JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 ENTERPRISE AVE NE, ISANTI, MN 55040-6813
(763) 552-6161
Mailing address
8654 310TH LN NE, NORTH BRANCH, MN 55056-6516
(763) 301-4722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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