| Healthy Happy Whole, Llc | |
|
406 3rd St Nw East Grand Forks MN 56721-1713 | |
| (989) 720-4325 | |
| Not Available |
| Full Name | Healthy Happy Whole, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 406 3rd St Nw, East Grand Forks, Minnesota |
| Authorized Official Name and Position | Korina K St John Rongitsch (LICENSED ACUPUNCTURIST) |
| Authorized Official Contact | 9897204325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Happy Whole, Llc 406 3rd St Nw East Grand Forks MN 56721-1713 Ph: (989) 720-4325 | Healthy Happy Whole, Llc 406 3rd St Nw East Grand Forks MN 56721-1713 Ph: (989) 720-4325 |
| NPI Number | 1285188706 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285188706 | NPI | - | NPPES |
| 1755 | Other | MN | MINNESOTA BOARD OF MEDICAL PRACTICE, LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1755 (Minnesota) | Primary |
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