Individual
JENNIFER SUDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
400 N MAIN ST, WASILLA, AK 99654-7018
(907) 373-2022
Mailing address
400 N MAIN ST, WASILLA, AK 99654-7018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
06/02/2020
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