Individual
ANGIE KAY WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45202 HOLT LAMPLIGHT RD, KENAI, AK 99611-9383
(907) 252-8090
Mailing address
45202 HOLT LAMPLIGHT RD, KENAI, AK 99611-9383
(907) 252-8090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101470
AK
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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