Individual
CAROL FRANCES DISALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 NORMAN ST, ANCHORAGE, AK 99504-1617
(907) 646-0702
(907) 644-0908
Mailing address
959 NORMAN ST, ANCHORAGE, AK 99504-1617
(907) 646-0702
(907) 644-0908
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
101013
AK
Other
Enumeration date
01/27/2014
Last updated
10/20/2014
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