Individual
CHASITY DAWN SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
2110 TUDOR HILLS CT, ANCHORAGE, AK 99507-1630
(318) 614-1292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137340
AK
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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