Individual
MIRANDA MUOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11131 POLAR DR, ANCHORAGE, AK 99516-1355
(907) 301-2298
Mailing address
2836 KIMBERLIE CT, ANCHORAGE, AK 99508-5329
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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