Individual
JUSTICE KINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 N MORIAH CIR, WASILLA, AK 99623-0889
(757) 771-6783
Mailing address
601 N MORIAH CIR, WASILLA, AK 99623-0889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
148713
AK
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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