Individual
MR. ERIC B GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, MAT
Contact information
Practice address
5257 27TH ST S, FARGO, ND 58104-7780
(701) 809-1179
Mailing address
819 13TH AVE N, FARGO, ND 58102-2628
(701) 809-1179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1479
ND
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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