Individual
JULIE DITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14988 W. FIREWEED DR., BIG LAKE, AK 99652
(907) 232-9055
Mailing address
14988 W. FIREWEED DR., BIG LAKE, AK 99652
(907) 232-9055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32843
AK
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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