Individual
ANASTASSIA ALEKSANDROVNA GOLOUBEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
32 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 234-3013
Mailing address
7730 DALLAS LN N, MAPLE GROVE, MN 55311-2715
(763) 234-3013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007128
MN
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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