Individual
JUN YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH. D
Contact information
Practice address
217 SKYLINE DR, HOMER, AK 99603-9270
(907) 744-0620
(907) 744-0620
Mailing address
PO BOX 533, HOMER, AK 99603-0533
(907) 744-0620
(907) 744-0620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
31091856
AK
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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