Individual
CHARITY ROSE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 E 98TH AVE, ANCHORAGE, AK 99507-6607
(907) 312-4616
Mailing address
5211 E 98TH AVE, ANCHORAGE, AK 99507-6607
(907) 312-4616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121636
AK
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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