Individual
PAVEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1655 OKPIK STREET, BARROW, AK 99723
(907) 852-3099
Mailing address
1150 S COLONY WAY STE 3, PALMER, AK 99645-6972
(907) 727-1901
(877) 803-8297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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