Individual
VANESSA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE D, WASILLA, AK 99654-8090
(907) 376-1234
Mailing address
PO BOX 876214, WASILLA, AK 99687-6214
(907) 360-7444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103986
AK
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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