Individual
STEPHANIE LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5099 E BLUE LUPINE DR STE 218, WASILLA, AK 99654-8449
(907) 671-3510
Mailing address
2015 W RIVULET AVE, WASILLA, AK 99654-0920
(907) 671-3510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121836
AK
Other
Enumeration date
12/01/2017
Last updated
12/02/2024
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