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Organization
WHOLISTIC MASSAGE LLC
Active
Organization
WHOLISTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH JEANNE PEARCH BA, ACMT, LMT (OWNER, CLINIC DIRECTOR)
(907) 312-9578
Entity
Organization
Contact information
Practice address
700 W 58TH AVE, UNIT A, ANCHORAGE, AK 99518-1633
(907) 312-9578
Mailing address
700 W 58TH AVE, UNIT A, ANCHORAGE, AK 99518-1633
(907) 312-9578
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1004320
AK
374J00000X
Doula
—
NULL
374J00000X
Doula
—
—
Other
Enumeration date
06/22/2014
Last updated
07/01/2014
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