Provider Demographics
NPI:1689965899
Name:HANDS ON HEART HOLISTIC HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:HANDS ON HEART HOLISTIC HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MUDRAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-690-5543
Mailing Address - Street 1:821 RAYMOND AVE STE 110
Mailing Address - Street 2:110
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1538
Mailing Address - Country:US
Mailing Address - Phone:665-169-0554
Mailing Address - Fax:
Practice Address - Street 1:821 RAYMOND AVE STE 110
Practice Address - Street 2:110
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1538
Practice Address - Country:US
Practice Address - Phone:665-169-0554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty