Individual
ANGELA ROSE QUINLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLMTB
Contact information
Practice address
801 W INTERSTATE AVE, BISMARCK, ND 58503-0973
(701) 751-1491
(701) 751-1492
Mailing address
801 W INTERSTATE AVE, BISMARCK, ND 58503-0973
(701) 751-1491
(701) 751-1492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1156
ND
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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