Individual
LILLIAN MUSUNGU SHIRAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12970 63RD AVE N, MAPLE GROVE, MN 55369-6001
(507) 513-1860
Mailing address
1363 10TH ST NW APT 301, SAINT PAUL, MN 55112-6747
(507) 513-1860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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