Individual
KES-SATIVA MEKETTA CHEYANNE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD STE 3, EAGLE RIVER, AK 99577-7824
(907) 206-4421
Mailing address
5430 E 32ND AVE, ANCHORAGE, AK 99508-4719
(907) 440-4396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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