Individual
JACQUELINE ELIZABETH CHASE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R. D.
Contact information
Practice address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576-0130
(907) 842-9276
(907) 842-9281
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9276
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
153
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT2603
—
AK
Enumeration date
10/31/2005
Last updated
07/08/2007
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