Individual
ALTAGRACIA MORA DEPAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1399 W 34TH AVE STE 101, ANCHORAGE, AK 99503-3659
(907) 929-2828
(907) 929-5858
Mailing address
735 E 9TH AVE APT 4, ANCHORAGE, AK 99501-6204
(907) 744-0597
(907) 929-5858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1004886
AK
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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