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Organization

RADIANCE SPINE INJURY & WELLNESS CENTER

Active
Other names
Daniel E Riveramedina
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ENRIQUE RIVERAMEDINA D.C. (CHIROPRACTOR)
61223872508
Entity
Organization

Contact information

Practice address
7201 YORK AVE S APT 1219, EDINA, MN 55435-4447
(612) 237-2508
Mailing address
7201 YORK AVE S APT 1219, EDINA, MN 55435-4447
(612) 237-2508

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
01/15/2016
Last updated
01/15/2016
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