Organization
ESSENTIALS 4 LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA A ERICKSON DIPL. AC. (DIPLOMATE IN ACUPUNCTURE)
(651) 491-5272
Entity
Organization
Contact information
Practice address
670 COMMERCE DR, SUITE 100, WOODBURY, MN 55125-9206
(651) 491-5272
Mailing address
9377 WENTLOCK RD, WOODBURY, MN 55125-3419
(651) 491-5272
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1478
MN
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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