Individual
LEAH HELENE MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CENTRAL AVE S STE 2A, VALLEY CITY, ND 58072-3325
(701) 840-2990
Mailing address
11677 39TH ST SE, VALLEY CITY, ND 58072-9536
(701) 840-2990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
934
ND
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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