Individual
MS. SANDRA M SANDVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 W SWANSON AVE, SUITE 104, WASILLA, AK 99654-6844
(907) 357-8483
Mailing address
300 W SWANSON AVE, SUITE 104, WASILLA, AK 99654-6844
(907) 357-8483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
928987
AK
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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