Organization
RESTORE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUANNE F SIKKEMA CNS (OWNER, NUTRITIONIST)
(907) 830-9877
Entity
Organization
Contact information
Practice address
3407 WILLOW ST, ANCHORAGE, AK 99517-2106
(907) 830-9877
Mailing address
PO BOX 91014, ANCHORAGE, AK 99509-1014
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
01/05/2021
Last updated
04/20/2021
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