Individual
BERTHA ALICIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E 66TH ST STE 100, RICHFIELD, MN 55423-2685
(612) 354-3165
Mailing address
1300 E 66TH ST STE 100, RICHFIELD, MN 55423-2685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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