Individual
MR. JASON EDWARD MERLE STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10020 E BAYWOOD WAY, PALMER, AK 99645-9620
(907) 301-2050
Mailing address
10020 E BAYWOOD WAY, PALMER, AK 99645-9620
(907) 301-2050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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