Individual
MISS SADIE ANNA LEALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3222 28TH ST S, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Mailing address
3222 28TH ST S, FARGO, ND 58104-5183
(701) 232-4770
(701) 237-3251
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
723
ND
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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