Individual
BETHANY LILA NIEMELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIPL. OM, L.AC.
Contact information
Practice address
278 E TRAVELERS TRL, BURNSVILLE, MN 55337-4099
(320) 224-7620
Mailing address
17206 30TH ST SW, COKATO, MN 55321-4512
(320) 224-7620
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1907
MN
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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