Individual
CARISSA ALANI SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5354 PARKDALE DR, SAINT LOUIS PARK, MN 55416-1603
(651) 645-5323
Mailing address
2110 MARGARET ST, SAINT PAUL, MN 55119-3928
(808) 258-0744
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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