Individual
MARIA M RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6881 W COLONY DR, WASILLA, AK 99623-0881
(907) 240-3725
Mailing address
PO BOX 877816, WASILLA, AK 99687-7816
(907) 240-3725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121216
AK
Other
Enumeration date
10/04/2017
Last updated
08/28/2020
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