Individual
MEGAN MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 1ST AVE S, SUITE 100, JAMESTOWN, ND 58401-4194
(701) 252-4698
Mailing address
104 1ST AVE S, SUITE 100, JAMESTOWN, ND 58401-4194
(701) 252-4698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1004
ND
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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