Individual
CHARMINE ANJULI MALLIPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 W 2ND AVE, ANCHORAGE, AK 99501-2151
(907) 717-5949
Mailing address
610 W 2ND AVE, ANCHORAGE, AK 99501-2151
(907) 717-5949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7551
AK
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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