Individual
ELISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 E BARRA LOOP, WASILLA, AK 99654-1607
(956) 621-6631
Mailing address
132 S SAN ROMAN RD, BAYVIEW, TX 78566-4866
(956) 621-6631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
07/08/2019
Last updated
01/23/2024
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