Individual
JANGMOO SHERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 YOUNKER CT, FAIRBANKS, AK 99701-7586
(907) 456-1053
Mailing address
895 LAKLOEY DR, NORTH POLE, AK 99705-5355
(646) 578-2231
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
111722
AK
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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