Individual
JAMES KEN PUOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 W 29TH PL, ANCHORAGE, AK 99503-3746
(907) 222-6775
Mailing address
1104 W 29TH PL, ANCHORAGE, AK 99503-3746
(907) 222-6775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101240
AK
Other
Enumeration date
07/24/2018
Last updated
09/01/2023
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