Individual
RODERICK ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 600, ANCHORAGE, AK 99503-2562
(907) 770-0862
Mailing address
4704 STANFORD DR, FAIRBANKS, AK 99709-3020
(907) 378-4510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NURP5343
AK
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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