Individual
YONG SUN BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
4050 LAKE OTIS PKWY STE 201B, ANCHORAGE, AK 99508-5223
(907) 202-3589
(907) 334-1015
Mailing address
11620 BROOK HILL CT, ANCHORAGE, AK 99516-1969
(907) 202-3589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101896
AK
225700000X
Massage Therapist
MAT:12513
HI
Other
Enumeration date
05/15/2012
Last updated
10/27/2023
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