Individual
MERAB ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
48380 DAISY AVE, SOLDOTNA, AK 99669-9407
(509) 438-8474
Mailing address
48380 DAISY AVE, SOLDOTNA, AK 99669-9407
(509) 438-8474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
169802
AK
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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