Individual
MICAELA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 W 8TH ST, 10004 GLACIER HWY, JUNEAU, AK 99801-1853
(907) 586-8600
Mailing address
269 GASTINEAU AVE, JUNEAU, AK 99801-1312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101920
AK
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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