Individual
JACQUELINE DENNISE RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 MATTHEW PAUL WAY, ANCHORAGE, AK 99504-4888
(907) 310-6434
(907) 337-2337
Mailing address
107 MATTHEW PAUL WAY, ANCHORAGE, AK 99504-4888
(907) 310-6434
(907) 337-2337
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100909
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584539
—
AK
05
—
1636011
—
AK
Enumeration date
01/11/2011
Last updated
05/04/2017
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