Individual
NICOLE WAWRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3340 NORTHDALE BLVD NW STE 120, COON RAPIDS, MN 55448-1622
(763) 270-5828
(763) 270-5849
Mailing address
3340 NORTHDALE BLVD NW STE 120, COON RAPIDS, MN 55448-1622
(763) 270-5828
(763) 270-5849
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2071
MN
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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