Organization
IN MOTION ALASKA
Active
Other names
Baranof Wellness and Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE Q WALDEN DC (PHYSICIAN)
(907) 747-8502
Entity
Organization
Contact information
Practice address
310 ERLER ST, SITKA, AK 99835-7336
(907) 747-8502
(907) 747-8503
Mailing address
310 ERLER ST, SITKA, AK 99835-7336
(907) 747-8502
(907) 747-8503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138881
STATE LICENSE NUMBER
AK
Enumeration date
03/08/2019
Last updated
03/08/2019
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