Individual
JADE ELIZABETH HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 LAKE OTIS PKWY STE 105, ANCHORAGE, AK 99508-5220
(907) 318-6844
Mailing address
3561 W RIVERDELL DR, WASILLA, AK 99654-8758
(907) 717-8814
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
199285
AK
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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