Individual
RANDALL DARGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 E 75TH CT, ANCHORAGE, AK 99518-2885
(907) 444-9459
Mailing address
820 E 75TH CT, ANCHORAGE, AK 99518-2885
(907) 444-9459
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101408
AK
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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