Individual
GARRETH EDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 799-5249
(907) 374-2915
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 799-5249
(907) 374-2915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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