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Individual

MIESHA NICOLE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
3759 THOMAS AVE N, MINNEAPOLIS, MN 55412-1840
(763) 274-7341
Mailing address
3759 THOMAS AVE N, MINNEAPOLIS, MN 55412-1840
(763) 273-7341

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
09/30/2020
Last updated
09/30/2020
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