Individual
ANTHONY NEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 E REZANOF DR, KODIAK, AK 99615-6602
(907) 481-5000
Mailing address
1911 E REZANOF DR, KODIAK, AK 99615-6602
(907) 481-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
144854
AK
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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