Individual
JOSEPH MARVIN PENAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 LORE RD APT A, ANCHORAGE, AK 99507-2981
(907) 717-8825
Mailing address
2101 LORE RD APT A, ANCHORAGE, AK 99507-2981
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
35851
AK
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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