Individual
MR. PAUL CHARLES JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
8330 ARLENE ST, ANCHORAGE, AK 99502-4615
(907) 830-1455
(907) 258-0444
Mailing address
PO BOX 232245, ANCHORAGE, AK 99523-2245
(907) 830-1455
(907) 258-0444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
902213
AK
Other
Enumeration date
05/14/2007
Last updated
04/22/2024
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