Individual
RENAE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1655 N GRANDVIEW LN STE 204, BISMARCK, ND 58503-0877
(701) 751-2020
(701) 223-2207
Mailing address
1655 N GRANDVIEW LN STE 204, BISMARCK, ND 58503-0877
(701) 751-2020
(701) 223-2207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1164
ND
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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