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Lillian Musungu Shiraku
Massage Therapist in Maple Grove, Minnesota
NPI 1871108704

Lillian Musungu Shiraku is a Massage Therapist based in Saint Paul, MN. Lillian Musungu Shiraku practices in Maple Grove, MN. The NPI Number for Lillian Musungu Shiraku is 1871108704 and holds a License No. (Minnesota).

The current practice location address for Lillian Musungu Shiraku is 12970 63Rd Ave N, Maple Grove, MN and can be reached out via phone at 507-513-1860.

Location: 12970 63Rd Ave N, Maple Grove, MN, 55112-6747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871108704
Provider Name
Lillian Musungu Shiraku
Credential
Provider Entity Type
Individual
Gender
Female
Address
12970 63Rd Ave N, Maple Grove, MN, 55112-6747
Phone Number
507-513-1860
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12970 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
507-513-1860
Fax Number
person
Provider Business Mailing Address Details
Address
12970 63Rd Ave N
City
Maple Grove
State
Minnesota
Zip
55369-6001
Phone Number
507-513-1860
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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