Individual
PATRICIA MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 W 34TH AVE APT 7, ANCHORAGE, AK 99517-2142
(907) 240-6880
Mailing address
PO BOX 241494, ANCHORAGE, AK 99524-1494
(907) 240-6880
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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