Individual
MICHAEL SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1296 AGVIK STREET, BARROW, AK 99723-0029
(907) 852-9203
(907) 852-6616
Mailing address
PO BOX 29, BARROW, AK 99723-0029
(907) 852-9203
(907) 852-6616
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6696
AK
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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