Individual
MS. DONNA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1000 OMALLEY RD STE 102, ANCHORAGE, AK 99515-3083
(907) 349-5552
(907) 349-5100
Mailing address
PO BOX 313, GIRDWOOD, AK 99587-0313
(907) 301-8207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102107
AK
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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