Individual
JESSICA ACOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-0966
(907) 443-9603
(907) 443-8177
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-9603
(907) 443-8177
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1723151
—
AK
Enumeration date
04/11/2022
Last updated
04/11/2022
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