Individual
BRENDA J. HAUGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LR
Contact information
Practice address
112 UNIVERSITY DR N, SUITE L-139, FARGO, ND 58102-4661
(701) 866-9677
Mailing address
112 UNIVERSITY DR N, SUITE L-139, FARGO, ND 58102-4661
(701) 866-9677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
399001-00
ND
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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