Individual
MS. RIKI RENEE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
18476 KENRICK AVE, SUITE 201, LAKEVILLE, MN 55044-9288
(612) 440-8423
Mailing address
20525 ICELAND AVE, LAKEVILLE, MN 55044-9240
(952) 236-0205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2016
MN
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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