Individual
SANDRA TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/BSC
Contact information
Practice address
7061 VIBURNUM DR, ANCHORAGE, AK 99507-2471
(907) 764-4410
Mailing address
7061 VIBURNUM DR, ANCHORAGE, AK 99507-2471
(907) 764-4410
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
168128
AS
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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