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Individual

EDNA STANDIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3900 AMBASSADOR DR, ANCHORAGE, AK 99508-5922
(907) 729-1143
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1143

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
203769
AK

Other

Enumeration date
04/03/2024
Last updated
04/03/2024
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