Individual
DELAINA HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W NORTHERN LIGHTS BLVD STE C, ANCHORAGE, AK 99503-3614
(907) 334-8020
Mailing address
2420 BERRYMAN LN APT 1, ANCHORAGE, AK 99502-2292
(409) 659-4579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
212888
AK
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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