Organization
JACE LLC
Active
Organization
JACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WIKLE (OWNER)
(605) 941-4055
Entity
Organization
Contact information
Practice address
308 OLD STEESE HWY, FAIRBANKS, AK 99701-3126
(605) 941-4055
Mailing address
308 OLD STEESE HWY, FAIRBANKS, AK 99701-3126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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