Individual
LISA ROSHANDA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 3RD ST NE STE F, OSSEO, MN 55369-1212
(612) 644-9916
Mailing address
24 3RD ST NE STE F, OSSEO, MN 55369-1212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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