Individual
MISS JACQUELINE SUZANNE HAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., L.E.
Contact information
Practice address
4050 LAKE OTIS PKWY, SUITE # 207, ANCHORAGE, AK 99508-5223
(907) 563-2639
(907) 563-2636
Mailing address
4050 LAKE OTIS PKWY, STE. 207, ANCHORAGE, AK 99508-5223
(907) 563-2639
(907) 563-2636
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MP1306
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W176650292
AETNA
AK
Enumeration date
03/26/2011
Last updated
03/26/2011
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