Individual
LEANN EBERSVILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 13TH AVE S STE 14, FARGO, ND 58103-3395
(701) 281-6465
Mailing address
4302 13TH AVE S STE 14, FARGO, ND 58103-3395
(701) 281-6465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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