Individual
MELITTA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1755 RICHARDSON HWY, DELTA JUNCTION, AK 99737
(907) 895-5055
(907) 895-5057
Mailing address
308 OLD STEESE HWY, FAIRBANKS, AK 99701
(907) 451-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109608
AK
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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