Whalio Doctors

NPI 1235449513

Leilani Jan Haack, LMT

Practitioner Contractor Bismarck, ND

Practice location

Address
3000 N. 14th St. Suite 3a, Bismarck, ND 58503
Phone
(701) 751-3070
Fax
(701) 751-3071

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 831 (ND)

Registry record

NPI
1235449513
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Oct 2010
Record last updated
20 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.