Individual
MRS. ANGELA MARGARET BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2120 26TH ST W STE 101, WILLISTON, ND 58801-2495
(850) 819-9769
Mailing address
2120 26TH ST W, WILLISTON, ND 58801-2496
(850) 819-9769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48397
FL
Other
Enumeration date
08/30/2011
Last updated
02/03/2021
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