Organization
GREEN DRAGON ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FRITZ M.OM., L.AC. (PRESIDENT/OWNER)
(612) 414-3250
Entity
Organization
Contact information
Practice address
12203 ABERDEEN ST NE, SUITE 120, BLAINE, MN 55449-5174
(612) 414-3250
Mailing address
1860 125TH LN NE, BLAINE, MN 55449-4957
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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