Individual
JOLEEN MERIDALE LEFEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
910 OLD STEESE HWY, FAIRBANKS, AK 99701-3168
(907) 328-5965
Mailing address
2115 BRADWAY RD, NORTH POLE, AK 99705-5501
(907) 388-2280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
175848
AK
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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