Individual
JENNA MAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
659 E 75TH AVE, ANCHORAGE, AK 99518-2834
(000) 000-0000
Mailing address
659 E 75TH AVE, ANCHORAGE, AK 99518-2834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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