Individual
DELORIS CAROLYN BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 COLLEGE RD, FAIRBANKS, AK 99709-4176
(907) 456-4521
Mailing address
660 WILCOX AVE APT 15, FAIRBANKS, AK 99709-3649
(907) 371-7128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
212207
AK
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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