Individual
LINDA VAN MUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 MILL BAY RD STE B, KODIAK, AK 99615-6485
(907) 539-2402
Mailing address
PO BOX 8595, KODIAK, AK 99615-8595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102162
AK
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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