Individual
SHILO HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
104 KUTTER RD, FAIRBANKS, AK 99701-3169
(907) 374-8889
(907) 452-3695
Mailing address
104 KUTTER RD, FAIRBANKS, AK 99701-3169
(907) 374-8889
(907) 452-3695
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
100
AK
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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