Individual
JR SIAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 RICHMOND AVE, ANCHORAGE, AK 99508-1134
(907) 306-4429
Mailing address
PO BOX 241465, ANCHORAGE, AK 99524-1465
(907) 231-3775
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/14/2021
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