Individual
IVY ASAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 C ST, ANCHORAGE, AK 99503-5923
(907) 334-2291
Mailing address
3601 C ST, ANCHORAGE, AK 99503-5923
(907) 334-2291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
37826
AK
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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