Individual
TAYLOR SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3260 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 796-8300
Mailing address
PO BOX 35683, JUNEAU, AK 99803-5683
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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