Individual
ALYCE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
Mailing address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
115275
AK
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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