Individual
KELSEY ENOCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 LAYLA CT, FAIRBANKS, AK 99712-1441
(907) 347-8052
Mailing address
PO BOX 10401, FAIRBANKS, AK 99710-0401
(907) 347-8052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
952616
AK
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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