Individual
KATHLEEN MARIE TASSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
P.O. BOX 71092, FAIRBANKS, AK 99707-1092
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14920
AK
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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