Individual
EMILY SMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
753 GAFFNEY RD, FAIRBANKS, AK 99701-4609
(907) 479-0036
Mailing address
PO BOX 84751, FAIRBANKS, AK 99708-4751
(907) 888-7552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164279
AK
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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