Individual
AMBER LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6932 SOCKEYE AVE UNIT A, JBER, AK 99506-3576
(907) 644-0904
Mailing address
6932 SOCKEYE AVE UNIT A, JBER, AK 99506-3576
(907) 644-0904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6975
AK
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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