Individual
TAMMY S JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 E TUDOR RD, ANCHORAGE, AK 99507-1035
(907) 717-8984
Mailing address
7921 LITTLE DIPPER AVE, #A, ANCHORAGE, AK 99504-4124
(907) 717-6303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
116529
AK
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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