Individual
KATHLEEN MARIE SOWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Contact information
Practice address
307 4TH AVE NE, SUITE A, WAITE PARK, MN 56387-1295
(763) 245-2761
Mailing address
8498 OAK LN, BECKER, MN 55308-8923
(763) 245-2761
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1636
MN
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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