Provider Demographics
NPI:1538859160
Name:HELLAND, MONICA (LAC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:HELLAND
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17210 33RD AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-1257
Mailing Address - Country:US
Mailing Address - Phone:612-991-0098
Mailing Address - Fax:
Practice Address - Street 1:17210 33RD AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-1257
Practice Address - Country:US
Practice Address - Phone:612-991-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist