Individual
NURIA L MENGISTEAB-MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 C STREET, ANCHORAGE, AK 99503
(907) 644-7952
(907) 644-7953
Mailing address
3380 C STREET, ANCHORAGE, AK 99503
(907) 644-7952
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
COMPANYID1079029
—
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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