Individual
KARAN RUTHERFORD DJORDJEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1296 AGVIK, BARROW, AK 99723-0701
(907) 852-9312
Mailing address
PO BOX 701, BARROW, AK 99723-0701
(907) 852-9312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6154
AK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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