Individual
MRS. TYAN ELIZABETH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
(907) 376-2605
Mailing address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
(907) 376-2605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
295
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0295
—
AK
Enumeration date
11/08/2006
Last updated
07/28/2010
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