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Individual

TAMIJA KATRICE PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-3300
Mailing address
4519 E 4TH AVE, ANCHORAGE, AK 99508-2216
(907) 538-6763

Taxonomy

Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
19-156-DHAT
AK
363A00000X
Physician Assistant
Primary
AK
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/02/2019
Last updated
03/20/2026
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