Individual
LOWELA COLIMAY SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
216 E REZANOF DR, KODIAK, AK 99615-6361
(907) 512-7192
Mailing address
216 E REZANOF DR, KODIAK, AK 99615-6361
(907) 512-7192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2195396
AK
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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