Individual
ASHLEY NICOLE ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1130 W DIMOND BLVD, SUITE D, ANCHORAGE, AK 99515-1510
(907) 868-1517
Mailing address
5530 E 4TH AVE, ANCHORAGE, AK 99504-1002
(907) 301-1991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108213
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
AK
Enumeration date
06/22/2016
Last updated
06/22/2016
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