Individual
PEAPEA MANUMALEALII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 WEST END RD, ANCHORAGE, AK 99502
(907) 770-8810
Mailing address
3600 E 20TH AVE, ANCHORAGE, AK 99508-3416
(907) 743-8733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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