Individual
LARISSA VADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109
(651) 232-5354
Mailing address
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109-1190
(651) 232-5354
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1785
MN
Other
Enumeration date
03/18/2016
Last updated
09/29/2021
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