Individual
EDTISHAM ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3330 EAGLE ST, ANCHORAGE, AK 99503-4146
(907) 561-2330
Mailing address
838 E 78TH AVE, ANCHORAGE, AK 99518-3126
(714) 398-4499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
181533
AK
225700000X
Massage Therapist
74850
CA
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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