Individual
CHRISTINE ANN TASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7015 KULCHAY CIR, EAGLE RIVER, AK 99577-9100
(907) 575-2336
Mailing address
7015 KULCHAY CIR, EAGLE RIVER, AK 99577-9100
(907) 575-2336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
190
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD36553
—
AK
Enumeration date
01/25/2006
Last updated
08/03/2015
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