Individual
EMILIE LIBERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2347 BENJAMIN ST NE, MINNEAPOLIS, MN 55418-4001
(320) 281-9595
Mailing address
2347 BENJAMIN ST NE, MINNEAPOLIS, MN 55418-4001
(320) 281-9595
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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