Individual
AMBER HAUOLI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5820 W LOCKSLEY LOOP, WASILLA, AK 99623-0874
(907) 631-2846
Mailing address
5820 W LOCKSLEY LOOP, WASILLA, AK 99623-0874
(907) 631-2846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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