Provider Demographics
NPI:1023327194
Name:PAULAHA, CADANCE (LAC, DIPLOM,)
Entity type:Individual
Prefix:
First Name:CADANCE
Middle Name:
Last Name:PAULAHA
Suffix:
Gender:F
Credentials:LAC, DIPLOM,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 BUFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-1642
Mailing Address - Country:US
Mailing Address - Phone:612-269-3370
Mailing Address - Fax:
Practice Address - Street 1:2301 COMO AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-1718
Practice Address - Country:US
Practice Address - Phone:612-269-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1542171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist