Individual
AGAPITA CADISAL LLANEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 ROBIN ST, ANCHORAGE, AK 99504-4674
(907) 339-9198
(907) 522-0564
Mailing address
3713 ROBIN ST, ANCHORAGE, AK 99504-4674
(907) 339-9198
(907) 522-0564
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
101262
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101262
—
AK
05
—
6876505
—
AK
Enumeration date
05/11/2018
Last updated
05/11/2018
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