Individual
MRS. SOPHIA BOUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
275 MARKET ST STE 409, MINNEAPOLIS, MN 55405
(651) 675-6166
Mailing address
1013 LAWSON AVE E, SAINT PAUL, MN 55106-3327
(651) 675-6166
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1739
MN
Other
Enumeration date
12/29/2015
Last updated
07/01/2021
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