Individual
MYALIESA BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
622 1ST ST #201, CORDOVA, AK 99574
(907) 229-8928
Mailing address
PO BOX 1174, CORDOVA, AK 99574-1174
(907) 229-8928
(907) 424-3535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
156834
AK
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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