Individual
STARLA KAY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 W FRONT ST STE 102, NOME, AK 99762-9800
(907) 443-7477
(907) 443-7487
Mailing address
1150 S COLONY WAY, STE 3, PMB 226, PALMER, AK 99645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101612
AK
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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