Organization
JESSE GARRETT ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE MORGAN GARRETT L. AC. (CHIEF MANAGER)
(651) 325-8656
Entity
Organization
Contact information
Practice address
1418 GRAND AVE, SAINT PAUL, MN 55105-2205
(651) 325-8656
Mailing address
1418 GRAND AVE, SAINT PAUL, MN 55105-2205
(651) 325-8656
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1662
MN
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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