Individual
TRACY LYN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
25 BIRCH AVE N, MAPLE LAKE, MN 55358-4610
(612) 597-5448
Mailing address
525 NORWAY DR E, ANNANDALE, MN 55302-9554
(161) 259-7544
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2017
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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