Individual
JESSICA LYNN DAHLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
708 W 40TH ST, MINNEAPOLIS, MN 55409
(612) 205-4028
Mailing address
5305 26TH AVE S, MINNEAPOLIS, MN 55417-1923
(612) 205-4028
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1874
MN
Other
Enumeration date
09/13/2017
Last updated
08/31/2018
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