Individual
SONJA A. STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 UNIVERSITY AVE STE 1, FAIRBANKS, AK 99709-3687
(907) 456-8426
Mailing address
PO BOX 80205, FAIRBANKS, AK 99708-0205
(907) 388-4772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
124644
AK
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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