Individual
CARLY LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13587 SEWARD HIGHWAY, SEWARD, AK 99664-9966
(907) 491-1431
Mailing address
PO BOX 2296, SEWARD, AK 99664-2296
(907) 491-0188
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
136482
AK
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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