Individual
JESSI LYLA DEMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(907) 696-9090
(907) 696-9091
Mailing address
3444 E 19TH AVE, ANCHORAGE, AK 99508-3403
(907) 952-1087
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109598
AK
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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