Individual
GRAHAM J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CHANNEL DR, SUITE 314, JUNEAU, AK 99801-7814
(907) 364-3584
Mailing address
PO BOX 210805, AUKE BAY, AK 99821-0805
(907) 364-3584
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PCG245
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCG245
—
AK
Enumeration date
03/08/2007
Last updated
07/09/2007
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