Individual
MARTHA ELLEN UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
709 W 9TH ST, JUNEAU, AK 99801-1807
(907) 463-2146
(907) 463-2150
Mailing address
709 W 9TH ST, JUNEAU, AK 99801-1807
(907) 463-2146
(907) 463-2150
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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