Individual
MATTHEW LEMAOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1058 W 27TH AVE, ANCHORAGE, AK 99503-2417
(907) 274-7391
Mailing address
PO BOX 241465, ANCHORAGE, AK 99524-1465
(907) 274-7391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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