Individual
JENNIFER GRACE NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3319
Mailing address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
148690
AK
Other
Enumeration date
09/13/2019
Last updated
10/04/2019
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