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Individual

MELODY A BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
808 E. END RD, HOMER, AK 99603
(907) 226-2228
Mailing address
PO BOX 15073, FRITZ CREEK, AK 99603-6073
(425) 327-0979

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012526
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5968BA
REGENCE BLUE SHIELD
WA
Enumeration date
08/10/2006
Last updated
08/14/2013
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