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Contact Information

JAIDA ATTLA
215 CUSHMAN ST
FAIRBANKS, AK99701-4639
 Phone: 907-374-1097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JAIDA ATTLA · (Female)

NPI Number 1790468239
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2023
Last updated 08/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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