Individual
CHERYL DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
(907) 376-2348
Mailing address
PO BOX 871545, WASILLA, AK 99687-1545
(907) 376-4534
(907) 376-2348
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4739
AK
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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