Individual
MRS. DIANE LOUISE MAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 TONGASS DR, SEARHC HOSPITAL, SITKA, AK 99835-9416
(907) 966-8318
Mailing address
PO BOX 3175, SITKA, AK 99835-3175
(907) 747-8311
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11864
AK
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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