Individual
MS. TRACIE LAJUAN BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
509 BURLINGTON ST SE, MANDAN, ND 58554-4272
(701) 224-1561
(701) 223-2319
Mailing address
509 BURLINGTON ST SE, MANDAN, ND 58554-4272
(701) 224-1561
(701) 223-2319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
644
ND
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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