Individual
ESTHER MICUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 MINERVA WAY, ANCHORAGE, AK 99515-1490
(907) 222-3459
(907) 743-9925
Mailing address
1701 MINERVA WAY, ANCHORAGE, AK 99515-1490
(907) 222-3459
(907) 743-9925
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
910395
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27070
—
AK
Enumeration date
09/08/2008
Last updated
09/08/2008
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