Individual
JESSI ELIZABETH NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. MOM
Contact information
Practice address
101 W HWY 61, SUITE 130, GRAND MARAIS, MN 55604
(218) 370-8378
(218) 387-3584
Mailing address
PO BOX 853, GRAND MARAIS, MN 55604
(218) 370-8378
(218) 387-3584
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1451
MN
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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