Individual
PA M JAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1006 W 71ST AVE, ANCHORAGE, AK 99518-2118
(907) 764-9956
Mailing address
12441 BRANDON ST, ANCHORAGE, AK 99515-3589
(907) 764-9956
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
100821
AK
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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