Organization
SUNSET PIER CLINICAL & THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND GREER WHITEHURST II LMT, NCTMB (OWNER)
(701) 200-2712
Entity
Organization
Contact information
Practice address
1404 33RD ST S, # G, FARGO, ND 58103-3482
(701) 200-2712
Mailing address
1404 33RD ST S, # G, FARGO, ND 58103-3482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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