Individual
MRS. LIZA SARAH MALAMUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE, CFCN
Contact information
Practice address
1408 19TH AVENUE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3976
Mailing address
1408 19TH AVENUE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17910
AK
163WD0400X
Diabetes Educator Registered Nurse
2221-0458
AK
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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