Lisa Marie Wourms
NPI #1104129527 in Fargo, North Dakota
Provider Information
- NPI Number
- 1104129527
- Entity Type
- Individual
- Name
- Lisa Marie Wourms
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Dec 7, 2010
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 1121 WESTRAC DR S STE 102
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-2385
- Phone
- (701) 297-8191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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