Individual
DOMNA REUTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W TUDOR RD STE D, ANCHORAGE, AK 99503-7247
(907) 334-6492
Mailing address
6085 SPRUCE MEADOWS LOOP, ANCHORAGE, AK 99507-4712
(907) 399-1190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101777
AK
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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