Individual
CHERYL ROUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 TAKOTNA AVE, MCGRATH, AK 99627
(907) 524-3299
Mailing address
4201 TUDOR CENTRE DR STE 320, ANCHORAGE, AK 99508-5916
(907) 729-6337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
249
AK
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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