Individual
JALEEL TARIK TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 N HOYT ST, ANCHORAGE, AK 99508-1602
(907) 279-7535
Mailing address
120 N HOYT ST, ANCHORAGE, AK 99508-1602
(907) 279-7535
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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