Individual
HEIDI BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LOT 2 BLOCK14 TRI-VALLEY SUBDIVISION, HEALY, AK 99743-0591
(907) 378-7267
Mailing address
PO BOX 591, HEALY, AK 99743-0591
(907) 378-7267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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