Individual
MRS. MIALARA ROSE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, L.AC
Contact information
Practice address
1121 WESTRAC DR S, FARGO, ND 58103-8716
(701) 297-8191
Mailing address
1121 WESTRAC DR S, FARGO, ND 58103-8716
(701) 297-8191
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
2007
MN
171100000X
Acupuncturist
Primary
2023-06
ND
Other
Enumeration date
08/08/2022
Last updated
09/09/2024
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