Individual
GABRIELLE BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7820
Mailing address
3730 N FIREWEED FIELDS DR, WASILLA, AK 99623-8908
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
127894
AK
Other
Enumeration date
04/29/2018
Last updated
12/22/2021
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