Individual
SHANNON MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
6311 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55416-1209
(952) 545-0200
Mailing address
1350 BOONE AVE N, GOLDEN VALLEY, MN 55427-3807
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1474
MN
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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