Individual
NAOKO PROCTOR-FAJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3823 SPENARD RD, ANCHORAGE, AK 99517-2678
(907) 677-1600
Mailing address
3823 SPENARD RD, ANCHORAGE, AK 99517-2678
(907) 677-1600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107270
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6894659
STATE ID
AK
Enumeration date
02/25/2021
Last updated
02/25/2021
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