Individual
MS. LAURA ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTM
Contact information
Practice address
1053 GRAND AVE, SUITE 109, SAINT PAUL, MN 55105-3022
(651) 964-3446
Mailing address
1053 GRAND AVE, SUITE 109, SAINT PAUL, MN 55105-3022
(651) 964-3446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20120000495
MN
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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