Most Relevant Information
Provider Data
| NPI Number: | 1003430810 |
| Provider Name: | JENNIFER ROSE BELLWARE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 19195 |
Most Important Dates
| Enumeration Date: | 06/08/2020 |
| Last Updated: | 06/08/2020 |
Provider Practice Location
3140 BLUESTEM DR STE 103
WEST FARGO
ND
580788010
Practice Location Phone/Fax
| Phone: | 7018937878 |
| Fax: |
Provider Mailing Location
3140 BLUESTEM DR STE 103
WEST FARGO
ND
580788010
Provider Mailing Phone/Fax
| Phone: | 7018937878 |
| Fax: |