Individual
RUTH ANN MATTSON
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
2706 INGRA ST, ANCHORAGE, AK 99508-3952
(402) 257-7732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140015
AK
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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