Organization
AKIKO TANAKA, PHD, LP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKIKO TANAKA PHD, LP (OWNER)
(612) 547-9170
Entity
Organization
Contact information
Practice address
333 GRAND AVE, SUITE 213, SAINT PAUL, MN 55102-2582
(612) 547-9170
Mailing address
333 GRAND AVE, SUITE 213, SAINT PAUL, MN 55102-2582
(612) 547-9170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5699
MN
Other
Enumeration date
07/15/2014
Last updated
02/01/2017
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