Individual
SARAH JENE SANDEFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
879 E ASHWOOD LOOP, WASILLA, AK 99654-1412
(907) 373-2149
Mailing address
879 E ASHWOOD LOOP, WASILLA, AK 99654-1412
(513) 439-3669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
962560
AK
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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