Individual
LASHAWN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7714 BROOKLYN BLVD, SUITE 111, MINNEAPOLIS, MN 55443-2980
(651) 528-0127
Mailing address
7714 BROOKLYN BLVD, SUITE 111, BROOKLYN PARK, MN 55443-2980
(651) 528-0127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85038
MN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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