MS. Destiny Dawn Jacobson, ROBIN FISCHER

NPI #1104015221 in Princeton, Minnesota

Provider Information

NPI Number: 1104015221
Entity Type: Individual
Name: MS. Destiny Dawn Jacobson, ROBIN FISCHER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: ROBIN FISCHER
Enumeration Date: Oct 15, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 108 12TH AVE N
City: Princeton
State: Minnesota
ZIP Code: 55371-1424
Phone: (763) 389-4938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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