| NPI | 1285019869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JEAN FALCONER Billing Supervisor 907-479-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AK 40) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 596) |
| 171100000X Acupuncturist (Licence: AK 152) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-10-05 |