Individual
SALLY MICHELLE BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 B ST, ANCHORAGE, AK 99518-1641
(907) 441-8559
Mailing address
14957 E DANCER CIR, PALMER, AK 99645-7784
(907) 229-2194
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
11131013
AK
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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