Jesscia Denae Smothermon

NPI #1174897011 in Anchorage, Alaska

Provider Information

NPI Number: 1174897011
Entity Type: Individual
Name: Jesscia Denae Smothermon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Feb 23, 2012
Last Updated: Feb 23, 2012

Practice Location

Address: 1058 W 27TH AVE
City: Anchorage
State: Alaska
ZIP Code: 99503-2424
Phone: (907) 274-7391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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