Organization
REIKI OF ZUUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LONDON DUNHAM II SHODEN (OWNER)
(612) 685-4982
Entity
Organization
Contact information
Practice address
207 S LAKE ST, BELVIEW, MN 56214-4015
(612) 685-4982
Mailing address
207 S LAKE ST, BELVIEW, MN 56214-4015
(612) 685-4982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/19/2024
Last updated
03/26/2024
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