Individual
TEDDY TAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 HOWARD AVE, ANCHORAGE, AK 99504-1895
(907) 929-0304
Mailing address
6700 HOWARD AVE, ANCHORAGE, AK 99504-1895
(907) 929-0304
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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