Individual
SARAH JOANNE LAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
(907) 226-2230
Mailing address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
(907) 226-2230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108930
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600266601
—
AK
Enumeration date
02/19/2019
Last updated
02/19/2019
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