Individual
JENNIE ENCABO DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2612 EAGLE ST, ANCHORAGE, AK 99503-2818
(907) 562-2118
Mailing address
2612 EAGLE ST, ANCHORAGE, AK 99503-2818
(907) 562-2118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1531
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531
MUNICIPALITY OF ANCHORAGE
AK
Enumeration date
07/20/2007
Last updated
07/20/2007
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