Individual
ANDREA KENNEDY WILT DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 3RD ST APT 1, DOUGLAS, AK 99824-5241
(303) 720-9445
Mailing address
1512 3RD ST APT 1, DOUGLAS, AK 99824-5241
(303) 720-9445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101350
AK
225700000X
Massage Therapist
MA60503285
WA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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