Individual
MRS. LANA J PROCIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
517 6TH ST NE, BELFIELD, ND 58622-0158
(701) 575-4725
Mailing address
P.O. BOX 158, BELFIELD, ND 58622-0158
(701) 575-4725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17119
ND
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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