Individual
MATALENA SUITUPE LOKENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7650 MAYFAIR DR APT C, ANCHORAGE, AK 99502-7212
(907) 903-5847
Mailing address
7650 MAYFAIR DR APT C, ANCHORAGE, AK 99502-7212
(907) 903-5847
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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