Individual
AMELIA GRACE WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
699 WINNETKA AVENUE NORTH, 202, GOLDEN VALLEY, MN 55427
(651) 235-4722
Mailing address
699 WINNETKA AVE. NORTH, 202, GOLDEN VALLEY, MN 55427
(651) 235-4722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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