Individual
HANEEFAH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AESTHETICIAN
Contact information
Practice address
2960 WINNETKA AVE N STE 210, CRYSTAL, MN 55427-2866
(612) 281-8989
Mailing address
2960 WINNETKA AVE N STE 210, CRYSTAL, MN 55427-2866
(612) 281-8989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21040330
MN
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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