Organization
TRADITIONAL ROOTS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE OVERBY L.AC. (CO-FOUNDER, VICE PRESIDENT)
(612) 578-7977
Entity
Organization
Contact information
Practice address
165 DUNLAP ST N, SAINT PAUL, MN 55104-6405
(651) 447-2196
Mailing address
165 DUNLAP ST N, SAINT PAUL, MN 55104-6405
(651) 447-2196
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1774
MN
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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