Individual
AMY ANGAIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1773 COLLEGE RD, FAIRBANKS, AK 99709-4176
(907) 457-5100
(907) 457-5102
Mailing address
895 OLD STEESE HWY N, FAIRBANKS, AK 99712-2203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101625
AK
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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