Individual
MIRA JAKSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 W DIMOND BLVD STE 121, ANCHORAGE, AK 99515-1515
(907) 344-0033
Mailing address
750 W DIMOND BLVD STE 121, ANCHORAGE, AK 99515-1515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103535
AK
Other
Enumeration date
04/21/2018
Last updated
04/21/2018
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