Individual
KIMBERLY JEAN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.OM., L.AC.
Contact information
Practice address
12203 ABERDEEN ST NE, SUITE 120, BLAINE, MN 55449-4719
(612) 414-3250
Mailing address
1860 125TH LN NE, BLAINE, MN 55449-4957
(612) 414-3250
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1259
MN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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