Individual
SACH M. SUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
278
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278
STATEOF ALASKA LICENSED DISPENSING OPTICIAN
AK
Enumeration date
05/19/2011
Last updated
05/19/2011
Update your record
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