Individual
ETEVA TAUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6916 WINDSOR PL, ANCHORAGE, AK 99502-3084
(907) 885-7624
Mailing address
6916 WINDSOR PL, ANCHORAGE, AK 99502-3084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10322
AK
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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