Individual
CHARLOTTE RACHAEL MAHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 MAIN ST, WASILLA, AK 99654
(907) 376-8020
Mailing address
3551 S CLAIBORNE DR, WASILLA, AK 99623
(907) 841-2553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
106419
AK
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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