Organization
TRADITIONAL ROOTS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE OVERBY L.AC (DIRECTOR, VICE PRESIDENT)
(651) 447-2196
Entity
Organization
Contact information
Practice address
165 DUNLAP ST N, SAINT PAUL, MN 55104-6405
(651) 447-2196
Mailing address
165 DUNLAP STREET, ST PAUL, MN 55104
(651) 447-2196
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1774
MN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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