Individual
MARLIE MAE MAANUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 9TH ST E STE 401, WEST FARGO, ND 58078-3381
(701) 658-7015
Mailing address
16 S MAIN ST, LAMOURE, ND 58458-7412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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