Organization
JANAI MEYER NUTRITION AND LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAI MARIE MEYER RD, IBCLC (OWNER)
(907) 220-9920
Entity
Organization
Contact information
Practice address
130 CARLANNA LAKE RD LOWR, KETCHIKAN, AK 99901-5669
(907) 220-9920
(907) 220-9925
Mailing address
130 CARLANNA LAKE RD LOWR, KETCHIKAN, AK 99901-5669
(907) 220-9920
(907) 220-9925
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10032053
AK
332B00000X
Durable Medical Equipment & Medical Supplies
10032053
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003924
—
AK
Enumeration date
11/12/2015
Last updated
11/13/2015
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