Individual
MIKALA RAIN MUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33870 POLAR ST, SOLDOTNA, AK 99669-9251
(907) 260-4844
Mailing address
712 CYPRESS DR, KENAI, AK 99611-7519
(208) 413-4262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
234247
AK
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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