Individual
WILMA SUE TAGABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
Mailing address
4109 TAKU BLVD, PO BOX 21086, JUNEAU, AK 99801-9270
(907) 789-7427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
380
AK
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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