Individual
SASHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 ASPEN LAKE DR NE, BLAINE, MN 55449-3100
(651) 341-7209
Mailing address
PO BOX 476, HUGO, MN 55038-0476
(651) 341-7209
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC637425
MN
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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