Individual
JODI SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-7202
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
NURR26084
AK
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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