Individual
NAWAL THERESE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MERRIMAC LN N STE 201, PLYMOUTH, MN 55447-4698
(763) 476-0202
Mailing address
2000 MERRIMAC LN N STE 201, PLYMOUTH, MN 55447-4698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
49339
MN
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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