Individual
PAUL ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 109TH AVE NE STE D, BLAINE, MN 55434-3847
(763) 208-4562
Mailing address
13170 LINCOLN ST NE, BLAINE, MN 55434-4124
(763) 370-7570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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