NPI 1265005631

Molly Jewell O'Brien Black

Practitioner Acupuncturist St Louis Park, MN

Practice location

Address: 5009 Excelsior Blvd STE 110, St Louis Park, MN 55416-3039
Phone: (612) 669-4758
Mailing address: 4248 Vincent Ave S, Minneapolis, MN 55410-1519

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 1971 (MN)

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Registry record

NPI: 1265005631
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.