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Individual

JAIMESON HATCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(610) 248-5859
Mailing address
6723 LUNAR DR, ANCHORAGE, AK 99504-4575
(610) 248-5859

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
0001223182
VA
163WR0006X
Registered Nurse First Assistant
Primary
119024
AK
163WR0006X
Registered Nurse First Assistant
798701
CA

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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