Individual
MR. MERLO ISANG LLANEZA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 BETULA CIR, ANCHORAGE, AK 99507-4126
(907) 382-5040
(907) 522-0564
Mailing address
1609 BETULA CIR, ANCHORAGE, AK 99507-4126
(907) 382-5040
(907) 522-0564
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
100875
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6522461
—
AK
Enumeration date
10/01/2010
Last updated
10/01/2010
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