Individual
ROLAND I AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11621 NIX CT, ANCHORAGE, AK 99515-3409
(248) 250-3800
(907) 868-2958
Mailing address
11621 NIX CT, ANCHORAGE, AK 99515-3409
(248) 250-3800
(907) 868-2958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2154560
AK
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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