Individual
SHASTA M HELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,LR
Contact information
Practice address
204 10TH AVE NE, MANDAN, ND 58554-3738
(701) 527-5151
Mailing address
405 BURLINGTON ST SE, MANDAN, ND 58554-4271
(701) 527-5151
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
RB03095
ND
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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