Individual
TIA CASSIDY ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4640 NICOLS RD STE 207, EAGAN, MN 55122-7400
(651) 444-8869
Mailing address
4640 NICOLS RD STE 207, EAGAN, MN 55122-7400
(651) 444-8869
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1965
MN
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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