Individual
JASMINE ROSE RADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3301 13TH AVE S STE 108, FARGO, ND 58103-6303
(701) 212-4488
Mailing address
3301 13TH AVE S STE 108, FARGO, ND 58103-6303
(701) 212-4488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1544
ND
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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