Individual
MICHELE M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 QUEBEC AVE N, SUITE 205, NEW HOPE, MN 55427-1235
(612) 804-2930
Mailing address
4124 QUEBEC AVE N, SUITE 205, NEW HOPE, MN 55427-1235
(612) 804-2930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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