Individual
JAMIE ERIN CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N HEMMER RD, PALMER, AK 99645-9690
(907) 746-7842
Mailing address
434 N DENALI ST, PALMER, AK 99645-6011
(907) 841-3772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101727
AK
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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