Individual
FIAAVAE IOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 W 27TH AVE, ANCHORAGE, AK 99503-2424
(907) 274-7391
Mailing address
444 PRICE ST APT 3, ANCHORAGE, AK 99508-1258
(907) 250-9532
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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