Organization
ELEMENTAL BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON CARR L.AC. (OWNER)
(503) 360-4481
Entity
Organization
Contact information
Practice address
912 BARNETTE ST, FAIRBANKS, AK 99701-4510
(907) 451-7000
Mailing address
PO BOX 82574, FAIRBANKS, AK 99708-2574
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962717397
NPI
—
Enumeration date
03/08/2019
Last updated
03/08/2019
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