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Individual

JAZZ FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-6690
(907) 729-6699
Mailing address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-6690
(907) 729-6699

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
20697
AK

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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