Individual
MRS. SHARLA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14189 WOODPECKER STREET, TALKEETNA, AK 99676
(907) 733-7322
Mailing address
PO BOX 70, TALKEETNA, AK 99676-0070
(907) 733-7322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
415840
AK
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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