Individual
DONNA RENEE COBEN-HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 RIVERSTONE WAY, FAIRBANKS, AK 99709-2940
(907) 687-8316
Mailing address
570 RIVERSTONE WAY STE 2, FAIRBANKS, AK 99709-2940
(907) 458-8633
(907) 458-8622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598942807
—
AK
Enumeration date
09/24/2020
Last updated
09/24/2020
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