Individual
ANGELA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E TUDOR RD, ANCHORAGE, AK 99503-7368
(907) 563-5002
(907) 563-5047
Mailing address
500 E TUDOR RD, ANCHORAGE, AK 99503-7368
(907) 563-5002
(907) 563-5047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
911
AK
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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