Individual
MS. KASSANDRA MAE SY IMPERIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
5861 BROOKWOOD CIRCLE, ANCHORAGE, AK 99518-1992
(907) 887-9074
Mailing address
12240 BROOKWOOD CIR, ANCHORAGE, AK 99516-1992
(907) 887-9074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35285
AK
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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