Organization
ARAVADA MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN L SANDFORD (OWNER)
(952) 953-4900
Entity
Organization
Contact information
Practice address
7598 160TH ST, LAKEVILLE, MN 55044
(952) 953-4900
Mailing address
7598 160TH ST, LAKEVILLE, MN 55044
(952) 953-4900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/11/2008
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