Individual
MR. JAY TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2884 MARINA DRIVE, FAIRBANKS, AK 99709
(907) 590-2040
(907) 474-4035
Mailing address
2884 MARINA DRIVE, FAIRBANKS, AK 99709
(907) 590-2040
(907) 474-4035
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
AK300
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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