Individual
YENCID I BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1867 AIRPORT WAY STE 155, FAIRBANKS, AK 99701-4061
(907) 371-8244
(907) 519-0558
Mailing address
1867 AIRPORT WAY STE 155, FAIRBANKS, AK 99701-4061
(907) 712-7966
(907) 519-0558
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104025
AK
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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