Individual
SUMREAY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, LVN
Contact information
Practice address
121 W FIREWEED LN STE 105, ANCHORAGE, AK 99503-2044
(907) 863-9653
(907) 863-9124
Mailing address
5446 E 4TH AVE, ANCHORAGE, AK 99508-2568
(919) 584-7603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7073
AK
164X00000X
Licensed Vocational Nurse
192920
CA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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