NPI 1376803080

Bussakorn Toyting

Practitioner Contractor Palmer, AK

Practice location

Address: 550 S Alaska St STE 104c, Palmer, AK 99645-6371
Phone: (907) 715-3552
Mailing address: PO Box 879596, Wasilla, AK 99687-9596

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 949571 (AK)

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Registry record

NPI: 1376803080
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2012
Record last updated: 29 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.