Individual
SOPHIA E STROM DE MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8640 3RD AVE S, BLOOMINGTON, MN 55420-2933
(612) 282-0858
Mailing address
8640 3RD AVE S, BLOOMINGTON, MN 55420-2933
(612) 282-0858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
11/18/2015
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