Individual
MR. JASON SHANE NETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CORPSMAN
Contact information
Practice address
204 LAKEVIEW DR, SITKA, AK 99835-7307
(907) 966-5477
Mailing address
204 LAKEVIEW DR, SITKA, AK 99835-7307
(907) 966-5477
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
04/21/2017
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