Individual
JASON RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
115 4TH AVE NE, AUSTIN, MN 55912-3305
(507) 434-8700
Mailing address
1205 1ST AVE NE, AUSTIN, MN 55912-4566
(507) 434-3516
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1193
MN
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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