Individual
MISS KIAH DAHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W 26TH ST, MINNEAPOLIS, MN 55404-4200
(612) 668-4170
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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