Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1154815272 |
---|---|
Provider Name | Mrs. Rachel L Jones |
First Address | Anchorage, AK 99502-5571 |
Second Address | Anchorage, AK 99502-5571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2018 |
Last Update Date | 21/06/2018 |