Individual
MISS SAMANTHA RAE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 E RIVER RD, ANOKA, MN 55303-2828
(763) 421-2807
Mailing address
517 TIPTON AVE NW, ELK RIVER, MN 55330-1853
(763) 910-5648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/19/2023
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