Individual
ANN MARIE DIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
590 S DENALI ST, WASILLA, AK 99654-8117
(907) 707-9621
Mailing address
590 S DENALI ST, WASILLA, AK 99654-8117
(907) 707-9621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
141805
AK
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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