Individual
VICENTE VALERIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC. ,D.O.M
Contact information
Practice address
14030 23RD AVE N, PLYMOUTH, MN 55447-4773
(763) 350-1019
Mailing address
7610 IROQUOIS ST, CHANHASSEN, MN 55317-9604
(763) 350-1019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1289
MN
Other
Enumeration date
02/07/2007
Last updated
11/25/2024
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