Individual
STEPHANIE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
345 STERLING HWY STE 104, HOMER, AK 99603-7820
(907) 235-7221
Mailing address
345 STERLING HWY STE 104, HOMER, AK 99603-7820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
124291
AK
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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