Individual
JAN RUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR34457
AK
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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