Individual
JEREMIAH JONAH LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E 3RD AVE STE 201, ANCHORAGE, AK 99501-6102
(907) 727-4812
(907) 258-1091
Mailing address
4600 DEBARR RD STE 201, ANCHORAGE, AK 99508-3103
(907) 727-4812
(907) 258-1091
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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