Individual
CARLA P IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W 11TH AVE APT 1, ANCHORAGE, AK 99501-4365
(907) 310-9558
Mailing address
1010 W 11TH AVE APT 1, ANCHORAGE, AK 99501-4365
(907) 310-9558
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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