Individual
ELLEN JANE HEM-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-6532
Mailing address
3850 MAPLE CIR, EXCELSIOR, MN 55331-9642
(952) 470-1570
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1410
MN
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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