| Ms Chanda Wilson, | |
|
2091 Silver Bell Rd Apt 46, Eagan, MN 55122-1045 | |
| (612) 223-3449 | |
| Not Available |
| Full Name | Ms Chanda Wilson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 2091 Silver Bell Rd Apt 46, Eagan, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235825969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2023075 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chanda Wilson, 2091 Silver Bell Rd Apt 46, Eagan, MN 55122-1045 Ph: (612) 223-3449 | Ms Chanda Wilson, 2091 Silver Bell Rd Apt 46, Eagan, MN 55122-1045 Ph: (612) 223-3449 |
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Julie Lynn Marz, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3390 Coachman Road, Eagan, MN 55121 Phone: 651-452-4220 Fax: 651-452-3829 |
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