Individual
MISS MYRA LILLIAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
464 2ND ST, SUITE 201, EXCELSIOR, MN 55331-1963
(612) 834-0701
Mailing address
464 2ND ST, SUITE 201, EXCELSIOR, MN 55331-1963
(612) 834-0701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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