Individual
SAGE KENSLEY DEMALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-8694
(907) 729-6366
Mailing address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-8694
(907) 729-6366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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