Individual
SALLY ANN DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 MISSION RD, ROOM 207, KODIAK, AK 99615-7327
(907) 486-3319
(907) 486-8149
Mailing address
316 MISSION RD, ROOM 207, KODIAK, AK 99615-7327
(907) 486-3319
(907) 486-8149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31220
AK
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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