Organization
ICHIRO HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALMER LOR XIENG YANG DC (PRESIDENT)
(651) 348-2338
Entity
Organization
Contact information
Practice address
2345 RICE ST STE 128, ROSEVILLE, MN 55113-3741
(651) 348-2338
Mailing address
2345 RICE ST STE 128, ROSEVILLE, MN 55113-3741
(651) 348-2338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
08/01/2019
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