Individual
TINA AVONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
1207 G ST, ANCHORAGE, AK 99501-4352
(907) 775-1298
Mailing address
1207 G ST, ANCHORAGE, AK 99501-4352
(907) 775-1298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
136755
AK
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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