Individual
LYNETTE DANUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1121 WESTRAC DR S, SUITE 102, FARGO, ND 58103-8716
(701) 297-8191
Mailing address
1121 WESTRAC DR S, SUITE 102, FARGO, ND 58103-8716
(701) 297-8191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
861
ND
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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