Individual
DEIRDRE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
428 MCCARRONS BLVD S, ROSEVILLE, MN 55113-6952
(612) 386-5512
Mailing address
428 MCCARRONS BLVD S, ROSEVILLE, MN 55113-6952
(612) 386-5512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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