Individual
MS. ANGELA MAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4455 NORTH HIGHWAY 169 SUITE 200, FOUR SEASONS FAMILY CHIROPRACTIC CLINIC, PLYMOUTH, MN 55442
(763) 557-9032
(763) 557-9838
Mailing address
4446 CEDAR LAKE RD, #2, ST LOUIS PARK, MN 55416
(952) 920-1222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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