Individual
ANNIE C WILLARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8090
(907) 376-1234
(844) 388-8286
Mailing address
5330 N PALMER FISHHOOK RD, PALMER, AK 99645-8328
(907) 982-1056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
199288
AK
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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