Individual
MS. PAMELA BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND LMT
Contact information
Practice address
3123 N 14TH ST, BISMARCK, ND 58503-1330
(701) 390-2169
Mailing address
1919 ASSUMPTION DR, BISMARCK, ND 58501-1506
(701) 390-2169
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
312
ND
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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