Individual
SERENA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 STERLING HWY STE 104, HOMER, AK 99603-7820
(907) 235-7221
Mailing address
PO BOX 892, ANCHOR POINT, AK 99556-0892
(907) 299-2319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102061
AK
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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