Individual
ALESA BREANA NOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 W DIMOND BLVD STE D, ANCHORAGE, AK 99515-1511
(907) 947-6210
Mailing address
609 N BRAGAW ST, ANCHORAGE, AK 99508-1318
(907) 947-6210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121977
AK
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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