Individual
ANGELA RENE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E SWANSON AVE, #13, WASILLA, AK 99654-7054
(907) 376-1922
Mailing address
4926 ROLLINS DR, ANCHORAGE, AK 99508-5640
(907) 744-3216
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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