Individual
LYDIA GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18242 TONSINA CT, EAGLE RIVER, AK 99577
(907) 694-7555
(907) 694-7555
Mailing address
18242 TONSINA CT, EAGLE RIVER, AK 99577
(907) 694-7555
(907) 694-7555
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600897749
—
AK
Enumeration date
04/26/2007
Last updated
07/08/2007
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