Individual
PETRITA MELLIE LUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12812 OLD GLENN HWY, EAGLE RIVER, AK 99577-7002
(907) 696-8020
Mailing address
12105 WOODCHASE CIR, ANCHORAGE, AK 99516-2060
(907) 227-0243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
133099
AK
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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