Tamija Katrice Pearson, STUDENT

NPI #1083251607 in Anchorage, Alaska

Provider Information

NPI Number: 1083251607
Entity Type: Individual
Name: Tamija Katrice Pearson, STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Dec 2, 2019
Last Updated: Sep 5, 2024

Practice Location

Address: 4519 E 4TH AVE
City: Anchorage
State: Alaska
ZIP Code: 99508-2216
Phone: (907) 538-6763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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