Individual
JANE Y PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W BENSON BLVD, ANCHORAGE, AK 99503-3829
(907) 729-7408
(907) 729-6353
Mailing address
400 W BENSON BLVD, ANCHORAGE, AK 99503-3829
(907) 729-7408
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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