Individual
JENNIFER C BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
800 E 28TH ST., MAIL ROUTE 15115, INSTITUTE FOR HEALTH AND HEALING, MINNEAPOLIS, MN 55407-3799
(612) 863-3333
(612) 863-9019
Mailing address
800 E 28TH ST., MAIL ROUTE 15115, INSTITUTE FOR HEALTH AND HEALING, MINNEAPOLIS, MN 55407-3799
(612) 863-3333
(612) 863-9019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120
MINNESOTA BOARD OF MEDICAL PRACTICE ACUPUNCTURE LICENSE NUMBER
MN
Enumeration date
01/30/2009
Last updated
01/30/2009
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