Individual
VANESSA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12350 INDUSTRY WAY STE 110, ANCHORAGE, AK 99515-4301
(907) 336-3145
Mailing address
12122 GINAMI ST, ANCHORAGE, AK 99516-2551
(406) 861-3644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
135224
AK
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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