Iris Page Fourmont

NPI #1144988155 in Delta Junction, Alaska

Provider Information

NPI Number: 1144988155
Entity Type: Individual
Name: Iris Page Fourmont
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 1755 RICHARDSON HWY
City: Delta Junction
State: Alaska
ZIP Code: 99737
Phone: (907) 895-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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