Individual
BENITA HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 LAKE OTIS PKWY, 204, ANCHORAGE, AK 99508-5227
(907) 276-3800
Mailing address
511 SAN JUAN CIR, 1, ANCHORAGE, AK 99504-4852
(907) 306-1660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
106264
AK
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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