Individual
MRS. JENNIFER FAGGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HOMER DR, SUITE F, ANCHORAGE, AK 99518-3330
(907) 345-0050
Mailing address
2176 E 56TH AVE, APT. N101, ANCHORAGE, AK 99507-1611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
44
AK
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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