Individual
DARRICK DWAINE AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3722 PARSONS AVE, ANCHORAGE, AK 99508-1216
(907) 258-1611
Mailing address
2000 E 68TH AVE, APT 2, ANCHORAGE, AK 99507-2486
(907) 310-1210
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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