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Individual

CANDICE ZACHERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
2302 W TUDOR RD APT 2, ANCHORAGE, AK 99517-3191
(330) 880-7867

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143198
AK

Other

Enumeration date
01/18/2019
Last updated
04/01/2019
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