Individual
MR. JERRY LEWIS BLUEFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
751 E 36TH AVE STE 115, ANCHORAGE, AK 99503-4166
(907) 306-0333
Mailing address
751 E 36TH AVE STE 115, ANCHORAGE, AK 99503-4166
(907) 306-0333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1031388
AK
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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