Individual
MADISON VIRGINA BERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
436 N MAIN ST, WASILLA, AK 99654-7018
(907) 376-8020
Mailing address
436 N MAIN ST, WASILLA, AK 99654-7018
(907) 376-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25096
AK
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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