Individual
MINDI DOMITROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3831 PIPER ST STE S220, ANCHORAGE, AK 99508-4680
(907) 563-3145
Mailing address
3831 PIPER ST STE S220, ANCHORAGE, AK 99508-4680
(907) 563-3145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
967742
AK
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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