Individual
DANA WOJTACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 N ARCTIC FOX DR, WASILLA, AK 99654-2730
(907) 232-3961
Mailing address
3190 N ARCTIC FOX DR, WASILLA, AK 99654-2730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101660
AK
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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