Individual
MISS SHERRY Y. SIEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
Mailing address
1405 MILO ST, NORTH POLE, AK 99705-5462
(907) 888-7472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
964605
AK
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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