Individual
MRS. HOLLY FAYE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1322 EAGLE DR, WACONIA, MN 55387-1143
(612) 799-3626
Mailing address
1322 EAGLE DR, WACONIA, MN 55387-1143
(612) 799-3626
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1470
MN
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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