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NPI Profile for MARSHAL A PACKA in WASILLA, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI Number | 1003434945 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 07/07/2020 | |
| Last updated | 07/07/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARSHAL A PACKA
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MARSHAL A PACKA, RN