Individual
JULIANA SUSAN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
400 SELBY AVE, SUITE G2, SAINT PAUL, MN 55102-4508
(651) 224-6678
(651) 224-6772
Mailing address
400 SELBY AVE, SUITE G2, SAINT PAUL, MN 55102-4508
(651) 224-6678
(651) 224-6772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1404
MN
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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