Individual
VLADIMIR JOSEPH SCHARAFANOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
967 LAKE ST S, FOREST LAKE, MN 55025-2616
(651) 464-1113
(651) 464-0853
Mailing address
967 LAKE ST S, FOREST LAKE, MN 55025-2616
(651) 464-1113
(651) 464-0853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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