Individual
HOLLY ANN EDGECOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3161 43RD ST S, FARGO, ND 58104-8791
(701) 893-2639
(701) 893-2638
Mailing address
3161 43RD ST S, FARGO, ND 58104-8791
(701) 893-2639
(701) 893-2638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1130
ND
225700000X
Massage Therapist
1439
MT
Other
Enumeration date
12/22/2014
Last updated
08/24/2022
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