Individual
THOMAS SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1556 WINTERGREEN ST, ANCHORAGE, AK 99508-3074
(907) 644-4129
Mailing address
1556 WINTERGREEN ST, ANCHORAGE, AK 99508-3074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6718
AK
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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