Individual
JENNIFER ROSE BELLWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3140 BLUESTEM DR STE 103, WEST FARGO, ND 58078-8010
(701) 893-7878
Mailing address
3140 BLUESTEM DR STE 103, WEST FARGO, ND 58078-8010
(701) 893-7878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19195
ND
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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