Individual
ALISA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 S PLAZA DR STE 100, MENDOTA HEIGHTS, MN 55120-1802
(763) 339-8008
Mailing address
3440 BELT LINE BLVD APT 208, SAINT LOUIS PARK, MN 55416-2607
(763) 339-8007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024-227
MN
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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