Individual
TINA SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
(907) 451-3811
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
(907) 451-3811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101008
AK
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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