ERAVANH BOUTSOMSI

ANCHORAGE, AK
NPI1023247491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AK  931555)
Enumeration Date2009-07-07
Last Update Date2009-07-07
Business Address
Mr. ERAVANH BOUTSOMSI LMT
7731 E NORTHERN LIGHTS BLVD SUITE 220
ANCHORAGE, AK 99504-3554
Phone number: 907-727-2720
Mailing Address
Mr. ERAVANH BOUTSOMSI LMT
PO BOX 210856
ANCHORAGE, AK 99521-0856
Phone number: 907-727-2720