Individual
MRS. SAKURA STAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1008 CHEROQUEE TER, LAKE ARIEL, PA 18436-8032
(203) 685-8222
Mailing address
1008 CHEROQUEE TER, LAKE ARIEL, PA 18436-8032
(203) 685-8222
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
CT
225700000X
Massage Therapist
Primary
008961
PA
225700000X
Massage Therapist
8961
CT
Other
Enumeration date
12/06/2018
Last updated
11/13/2024
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