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Individual

DR. IVONNE MARCELA MOSQUERA-SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC, LMT

Contact information

Practice address
8120 PENN AVE S STE 248, BLOOMINGTON, MN 55431-1358
(952) 303-5780
(952) 303-6888
Mailing address
8120 PENN AVE S STE 248, BLOOMINGTON, MN 55431-1358
(952) 303-5780
(952) 303-6888

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2051
MN
225700000X
Massage Therapist
1802507
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2051
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
03/16/2021
Last updated
10/11/2023
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