Individual
ANITA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 OLD STEESE HWY STE 2, FAIRBANKS, AK 99701-3160
(907) 456-4822
(907) 456-4830
Mailing address
1585 PENNYWEIGHT DR, FAIRBANKS, AK 99712-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
216
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD9415
—
AK
Enumeration date
08/03/2006
Last updated
07/08/2007
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