Individual
ALAYSIA FREETLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4480 CENTERVILLE RD, WHITE BEAR LAKE, MN 55127-3674
(651) 484-2724
Mailing address
3325 E 52ND ST APT 301, MINNEAPOLIS, MN 55417-2935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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