Individual
KERI BLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 258-7575
Mailing address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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