Organization
HEALTHY HAPPY WHOLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORINA K ST JOHN RONGITSCH L.AC (LICENSED ACUPUNCTURIST)
(989) 720-4325
Entity
Organization
Contact information
Practice address
406 3RD ST NW, EAST GRAND FORKS, MN 56721-1713
(989) 720-4325
Mailing address
406 3RD ST NW, EAST GRAND FORKS, MN 56721-1713
(989) 720-4325
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1755
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1755
MINNESOTA BOARD OF MEDICAL PRACTICE, LIC #
MN
Enumeration date
08/12/2016
Last updated
08/12/2016
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