Individual
CARRIE SHANNON NIGHTSHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC., DIPLAC
Contact information
Practice address
3706 E 42ND STREET, MINNEAPOLIS, MN 55406
(612) 708-8917
Mailing address
3706 E 42ND STREET, MINNEAPOLIS COMMUNITY ACUPUNCTURE, MINNEAPOLIS, MN 55406
(612) 708-8917
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1565
MN
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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