Individual
GRACE FAYE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9309 GLACIER HWY STE B106, JUNEAU, AK 99801-9300
(907) 789-1344
Mailing address
9309 GLACIER HWY STE B106, JUNEAU, AK 99801-9300
(907) 789-1344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102032
AK
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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