Individual
SARAH FAVORITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
4774 GRAY LOOP UNIT D, ANCHORAGE, AK 99506-4673
(603) 809-1692
Mailing address
673 MDG, 5955 ZEAMER AVE, JBER, AK 99506
(907) 551-3955
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
11/10/2021
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