Individual
JESA LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
308 OLD STEESE HWY, FAIRBANKS, AK 99701-3126
(907) 451-7246
Mailing address
308 OLD STEESE HWY, FAIRBANKS, AK 99701-3126
(907) 451-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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