Organization
QUIET RAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYNNE ANN TEUTSCH LMT (OWNER)
(907) 357-7836
Entity
Organization
Contact information
Practice address
4931 E MAYFLOWER LN STE 1, WASILLA, AK 99654-7759
(907) 357-7836
(907) 331-0504
Mailing address
4931 E MAYFLOWER LN STE 1, WASILLA, AK 99654-7759
(907) 357-7836
(907) 331-0504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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