Individual
JESSICA MARIE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1389 HUFFMAN PARK DR STE 140, ANCHORAGE, AK 99515-3534
(907) 222-6122
Mailing address
3919 TURNAGAIN BLVD E APT 11, ANCHORAGE, AK 99517-2423
(757) 329-5027
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
167354
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167354
LICENSE NUMBER
AK
Enumeration date
11/03/2020
Last updated
11/03/2020
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