Individual
DAVID HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2203 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-9549
Mailing address
2203 JORDAN AVE, JUNEAU, AK 99801-8050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101565
AK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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