Individual
MARY NAN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11070 CEDAR HILLS BLVD, #329, MINNETONKA, MN 55305-3054
(952) 412-7668
Mailing address
11070 CEDAR HILLS BLVD, #329, MINNETONKA, MN 55305-3054
(952) 412-7668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA64374
FL
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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