Individual
JEFFERY EVERETT ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
354 TYEE ST, SOLDOTNA, AK 99669-7657
(907) 714-4521
Mailing address
PO BOX 628, KASILOF, AK 99610-0628
(907) 299-7800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125572
AK
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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