Individual
MISS KAYLEE LUCIA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N SEWARD MERIDIAN PKWY, WASILLA, AK 99654-6682
(907) 357-7463
Mailing address
9400 E WENDT RD, PALMER, AK 99645-8088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108208
AK
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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