Individual
ANGELA BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 N LANE ST UNIT A, ANCHORAGE, AK 99508-1704
(907) 884-0663
Mailing address
132 N LANE ST UNIT A, ANCHORAGE, AK 99508-1704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102040
AK
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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