Individual
BABY JEUDY DORZION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 E 4TH AVE APT 3, ANCHORAGE, AK 99504-1328
(907) 744-4889
Mailing address
7401 E 4TH AVE APT 3, ANCHORAGE, AK 99504-1328
(907) 744-4889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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