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Rebeca Jackson
NPI 1104455450 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7451 Tyone Ct
Anchorage, AK 99504 - Phone
- (907) 743-2986
- Organisation at this address
- Jeng Sallah Alh
Simply Blue,Alh,Llc
Susitna Gardens Alh LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska