Individual
BIRHANU AFSAW DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2627 E FRANKLIN AVE STE 201, MINNEAPOLIS, MN 55406-1168
(161) 287-0150
Mailing address
2627 E FRANKLIN AVE STE 201, MINNEAPOLIS, MN 55406-1168
(161) 287-0150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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