Individual
SHARON CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S ALASKA ST, PALMER, AK 99645-6338
(907) 748-6296
Mailing address
PO BOX 670463, CHUGIAK, AK 99567-0463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104721
AK
Other
Enumeration date
06/26/2016
Last updated
06/26/2016
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