Individual
MS. JACQUELYN J SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN6465
AK
Other
Enumeration date
03/20/2012
Last updated
04/12/2012
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