Individual
MS. JAN MARIE DWORSHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1804 TROTT AVE SW, WILLMAR, MN 56201-2743
(320) 222-2639
(320) 222-1494
Mailing address
1524 8TH ST SW, WILLMAR, MN 56201-4036
(320) 253-5967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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