Individual
JESSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
10880 175TH CT W STE 120, LAKEVILLE, MN 55044-7493
(952) 898-4900
Mailing address
10880 175TH CT W STE 120, LAKEVILLE, MN 55044-7493
(952) 898-4900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1440
MN
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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