Individual
JESSCIA DENAE SMOTHERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 W 27TH AVE, ANCHORAGE, AK 99503-2424
(907) 274-7391
Mailing address
1058 W 27TH AVE, ANCHORAGE, AK 99503-2424
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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