Individual
AMBER MEDINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 W COMMERCIAL DR, WASILLA, AK 99654-6937
(907) 376-2475
Mailing address
833 W. COMERCIAL DR, WASILLA, AK 99654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101637
AK
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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