Individual
HEIDI ANNE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
16800 RANSOM RIDGE RD, ANCHORAGE, AK 99516-5352
(907) 229-5894
Mailing address
PO BOX 221442, ANCHORAGE, AK 99522-1442
(907) 229-5894
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
159
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336457415
EMPLOYER: SNOW BLOSSOM ACUPUNCTURE'S EIN
AK
Enumeration date
01/22/2013
Last updated
05/16/2016
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