Individual
MR. VICTOR GARRETT CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2636 LEE ST, ANCHORAGE, AK 99504-3124
(907) 202-0895
Mailing address
2636 LEE ST, ANCHORAGE, AK 99504-3124
(907) 202-0895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104692
AK
Other
Enumeration date
05/11/2016
Last updated
07/14/2016
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