Individual
ANDREA LEE WAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 MAJOR AVE N, ROBBINSDALE, MN 55422-2132
(763) 439-9994
Mailing address
3629 MAJOR AVE N, ROBBINSDALE, MN 55422-2132
(763) 439-9994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/24/2010
Last updated
01/24/2010
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