MISS Myra Lillian Wang, CMT

NPI #1679704423 in Excelsior, Minnesota

Provider Information

NPI Number: 1679704423
Entity Type: Individual
Name: MISS Myra Lillian Wang, CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT
Enumeration Date: Jul 28, 2009
Last Updated: Jul 28, 2009

Practice Location

Address: 464 2ND ST
Address 2: SUITE 201
City: Excelsior
State: Minnesota
ZIP Code: 55331-1963
Phone: (612) 834-0701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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