Individual
THERESA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE, SEWARD, AK 99664-0999
(907) 224-5257
(907) 224-7081
Mailing address
PO BOX 1045, SEWARD, AK 99664-1045
(907) 224-5257
(907) 224-7081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
208454
AK
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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