MR. Eravanh Boutsomsi, LMT

NPI #1023247491 in Anchorage, Alaska

Provider Information

NPI Number
1023247491
Entity Type
Individual
Name
MR. Eravanh Boutsomsi, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jul 7, 2009
Last Updated
Jul 7, 2009

Practice Location

Address
7731 E NORTHERN LIGHTS BLVD
Address 2
SUITE 220
State
Alaska
ZIP Code
99504-3554
Phone
(907) 727-2720

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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